Agency
Smile Homecare, LLC
Smile Homecare, LLC was paid $6.41M by Medicaid between Sep 2020 and Dec 2024, across 1 billing code. Its largest line is W1793, State-specific procedure code — 100% of everything it billed.
33Billing provider infoSMILE HOMECARE, LLC
PITTSBURGH, PA 15236
PITTSBURGH, PA 15236
33aNPI1215462429assigned 04/25/2017
33bProvider typeIn Home Supportive Care Agency
28Total paid$6.41M
24GClaims30,249
24DCodes billed1
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in Pennsylvania
Rank by total paid#26 of 115
Median peer was paid$1.41M
This provider vs. median4.6×
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 Concentration100% of spending on code W1793 with only 1 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 | |
|---|---|---|---|
| 2020 | 2,877 | $645K | |
| 2021 | 9,458 | $2.00M | |
| 2022 | 8,117 | $1.62M | |
| 2023 | 5,291 | $1.21M | |
| 2024incomplete | 4,506 | $936K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| W1793 | State-specific procedure code | 100% | 30,249 | 1,040 | $6.41M |
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 officialPHUYAL, NARAYAN (OWNER)