Agency
By the Bay Health
By the Bay Health was paid $24.13M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 0658, — 67% of everything it billed.
33Billing provider infoBY THE BAY HEALTH
LARKSPUR, CA 94939
LARKSPUR, CA 94939
33aNPI1255381547assigned 05/10/2006
33bProvider typeCommunity Based Hospice Care Agency
28Total paid$24.13M
24GClaims22,191
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community Based Hospice Care Agency providers in California
Rank by total paid#3 of 557
Median peer was paid$511K
This provider vs. median47×
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
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 | 5,400 | $3.66M | |
| 2019 | 3,872 | $4.10M | |
| 2020 | 2,115 | $4.05M | |
| 2021 | 3,894 | $3.67M | |
| 2022 | 2,019 | $2.36M | |
| 2023 | 2,152 | $3.33M | |
| 2024incomplete | 2,739 | $2.97M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0658 | 67% | 3,695 | 2,288 | $16.19M | |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 13% | 2,645 | 2,607 | $3.08M |
| T2022 | Case management, per month | 10% | 3,311 | 3,278 | $2.49M |
| Q5001 | Hospice or home health care provided in patient's home/residence | 7.7% | 6,623 | 310 | $1.85M |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | 1.4% | 4,277 | 1,248 | $342K |
| T2046 | Hospice long term care, room and board only; per diem | <1% | 24 | 24 | $113K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | <1% | 1,229 | 1,032 | $53K |
| S5110 | Home care training, family; per 15 minutes | <1% | 283 | 234 | $4K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 104 | 90 | $4K |
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 officialKELLY, JAMES (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| By the Bay Health | San Francisco, CA | $2.36M |
| 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.