Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › WHEAT RIDGE › PROFESSIONAL HOME HEALTH CARE, INC.

PROFESSIONAL HOME HEALTH CARE, INC.

NPI: 1235377037 · WHEAT RIDGE, CO 80033 · Home Health Agency · NPI assigned 02/02/2009

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$1.36M
Total Medicaid Paid
22,369
Total Claims
1,662
Beneficiaries
2
Codes Billed
2020-05
First Month
2024-09
Last Month

Provider Details

Authorized OfficialBELLINGER, SHERYL (PRESIDENT)
NPI Enumeration Date02/02/2009

Related Entities

Other providers sharing the same authorized official: BELLINGER, SHERYL

ProviderCityStateTotal Paid
PROFESSIONAL HOME HEALTH CARE, INC. PUEBLO CO $2.61M
PROFESSIONAL HOME HEALTH CARE INC COLORADO SPRINGS CO $2.02M
PROFESSIONAL HOME HEALTH CARE, INC. BOULDER CO $1.01M
PROFESSIONAL HOME HEALTH CARE, INC. COLORADO SPRINGS CO $261K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,642 $282K
2021 5,912 $354K
2022 4,529 $336K
2023 4,044 $313K
2024 3,242 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal 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) 21,384 1,503 $1.33M
S5130 Homemaker service, nos; per 15 minutes 985 159 $30K