By the Bay Health
By the Bay Health was paid $2.36M by Medicaid between Sep 2018 and Jul 2024, across 3 billing codes. Its largest line is T2025, waiver services not otherwise specified — 100% of everything it billed.
SAN FRANCISCO, CA 94102
Next to other Community Based Hospice Care Agency providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 72 | $19K | |
| 2019 | 258 | $314K | |
| 2020 | 262 | $747K | |
| 2021 | 194 | $611K | |
| 2022 | 109 | $346K | |
| 2023 | 88 | $282K | |
| 2024incomplete | 12 | $38K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 100% | 897 | 890 | $2.35M |
| T2022 | Case management, per month | <1% | 36 | 36 | $8K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 0% | 62 | 14 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| By the Bay Health | Larkspur, CA | $24.13M |
| James E. Kelly M.D. LLC | Saint Louis, MO | $413K |
| Incare Home Care, LLC | Larkspur, CA | $98K |
| Caring Corporation INC | Troy, AL | $20K |
| Western Arkansas Plastic & Reconstructive Surgery Center | Fort Smith, AR | $12K |
| DR James R Kelly M D P C | New York, NY | $6K |
| Radnor Fire Company of Wayne | Wayne, PA | $3K |
| Incare Home Care, LLC | Sonoma, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.