Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Guardian Healthcare, LLC

Guardian Healthcare, LLC was paid $13.37M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 40% of everything it billed.

33Billing provider infoGUARDIAN HEALTHCARE, LLC
JAMAICA PLAIN, MA 02130
33aNPI1265683569assigned 10/06/2008
33bProvider typeHome Health Agency
28Total paid$13.37M
24GClaims325,939
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Home Health Agency providers in Massachusetts

Rank by total paid#62 of 299
Median peer was paid$2.39M
This provider vs. median5.6×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201840,336$1.48M
201946,321$1.46M
202050,782$1.89M
202147,641$1.96M
202251,367$2.19M
202348,689$2.29M
2024incomplete40,803$2.11M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 40% 130,011 19,712 $5.40M
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 31% 67,755 3,669 $4.19M
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 9.7% 64,012 6,602 $1.29M
S5130 Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes 7.6% 20,635 2,624 $1.02M
S5131 Homemaker service, nos; per diem 6.0% 12,703 652 $800K
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 2.4% 13,977 1,003 $318K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 1.3% 5,291 1,448 $167K
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% 7,164 1,043 $125K
S9124 Nursing care, in the home; by licensed practical nurse, per hour <1% 3,096 236 $50K
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) <1% 91 16 $13K
Q5001 Hospice or home health care provided in patient's home/residence <1% 715 363 $1K
3FA11 0% 489 106 $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.

From NPPES

Who's on the registration

Authorized officialDE LA ROSA, JOSE (CEO)
Same official

Other billing entities under DE LA ROSA, JOSE

Full network →
ProviderLocationPaid
Family CaregiversJamaica Plain, MA$41.17M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.