Agency
Primary Care Nursing Services, INC.
Primary Care Nursing Services, INC. was paid $27.60M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 99% of everything it billed.
33Billing provider infoPRIMARY CARE NURSING SERVICES, INC.
DUBLIN, OH 43017
DUBLIN, OH 43017
33aNPI1194782979assigned 04/27/2006
33bProvider typeHome Health Agency
28Total paid$27.60M
24GClaims115,654
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Ohio
Rank by total paid#25 of 915
Median peer was paid$1.83M
This provider vs. median15×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration99% of spending on code T1000 with only 3 total codes billed. Highly concentrated billing profile.
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 | 17,232 | $3.32M | |
| 2019 | 14,795 | $3.14M | |
| 2020 | 17,344 | $3.61M | |
| 2021 | 15,160 | $3.33M | |
| 2022 | 13,609 | $3.17M | |
| 2023 | 20,658 | $5.11M | |
| 2024incomplete | 16,856 | $5.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | 99% | 112,217 | 4,865 | $27.31M |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 1,229 | 503 | $219K |
| T1001 | Nursing assessment / evaluation | <1% | 2,208 | 1,864 | $69K |
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 officialSHARP, SUSAN (ADMINISTRATOR)