Utopia Home Care INC
Utopia Home Care INC was paid $81.31M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is T1004, Services of a qualified nursing aide, up to 15 minutes — 32% of everything it billed.
33Billing provider infoUTOPIA HOME CARE INC
EAST HAVEN, CT 06513
EAST HAVEN, CT 06513
33aNPI1164460820assigned 06/03/2006
33bProvider typeHomemaker
28Total paid$81.31M
24GClaims2,089,980
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Homemaker providers in Connecticut
Rank by total paid#2 of 11
Median peer was paid$438K
This provider vs. median186×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 400,528 | $14.28M | |
| 2019 | 500,687 | $17.74M | |
| 2020 | 318,537 | $10.51M | |
| 2021 | 264,136 | $10.45M | |
| 2022 | 238,010 | $9.88M | |
| 2023 | 202,858 | $9.97M | |
| 2024incomplete | 165,224 | $8.49M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1004 | Services of a qualified nursing aide, up to 15 minutes | 32% | 807,784 | 23,826 | $25.91M |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 30% | 742,857 | 17,127 | $24.36M |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 16% | 278,442 | 46,685 | $13.39M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 12% | 77,077 | 4,329 | $10.06M |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 3.8% | 65,324 | 13,052 | $3.08M |
| G0162 | Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) | 3.1% | 69,572 | 33,308 | $2.55M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 1.0% | 14,983 | 1,267 | $833K |
| T1503 | Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit | <1% | 14,101 | 433 | $523K |
| T1001 | Nursing assessment / evaluation | <1% | 10,073 | 3,008 | $249K |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | <1% | 2,472 | 93 | $150K |
| 99509 | Home visit for assistance with activities of daily living and personal care | <1% | 4,336 | 193 | $147K |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | <1% | 2,072 | 185 | $51K |
2 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialVITALI, RICHARD (BILLING ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Utopia Assisted Living Services | East Haven, CT | $5.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.