Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Professional Healthcare INC

Professional Healthcare INC was paid $4.91M by Medicaid between Jun 2022 and Sep 2024, across 18 billing codes. Its largest line is U0004, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r — 57% of everything it billed.

33Billing provider infoPROFESSIONAL HEALTHCARE INC
ROLLING MEADOWS, IL 60008
33aNPI1174251185assigned 08/09/2022
28Total paid$4.91M
24GClaims122,694
24DCodes billed18
24AFirst – last monthJun 2022 – Sep 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Illinois

Rank by total paid#37 of 235
Median peer was paid$123K
This provider vs. median40×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
202281,140$3.38M
202340,045$1.51M
2024incomplete1,509$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 57% 39,125 7,350 $2.79M
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 18% 37,516 7,411 $884K
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 14% 29,682 6,604 $703K
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 9.7% 13,510 3,771 $478K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 745 257 $38K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 82 59 $8K
80053 Comprehensive metabolic panel <1% 373 307 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 366 292 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 41 16 $1K
84443 Thyroid stimulating hormone (TSH) <1% 77 64 $1K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge <1% 380 120 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 112 99 $895.81
6 more codes
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 40 $895.60
80061 Lipid panel <1% 99 $727.11
36415 Collection of venous blood by venipuncture <1% 426 $701.47
85027 <1% 79 $547.12
82607 <1% 14 $185.22
85610 <1% 27 $95.29

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 officialKAINTH, NIMRATA (PRESIDENT)