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

Prospect Waterbury Home Health, INC.

Prospect Waterbury Home Health, INC. was paid $1.30M by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is S9124, Nursing care, in the home; by licensed practical nurse, per hour — 42% of everything it billed.

33Billing provider infoPROSPECT WATERBURY HOME HEALTH, INC.
WATERTOWN, CT 06795
33aNPI1265880413assigned 05/27/2016
33bProvider typeHome Health Agency
28Total paid$1.30M
24GClaims26,683
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Home Health Agency providers in Connecticut

Rank by total paid#51 of 101
Median peer was paid$1.30M
This provider vs. median1.0×

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.

Entity ProliferationAuthorized official ELDERS, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20185,157$208K
20194,629$196K
20207,372$236K
20214,094$223K
20222,326$180K
20231,818$146K
2024incomplete1,287$106K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9124 Nursing care, in the home; by licensed practical nurse, per hour 42% 7,373 2,128 $543K
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) 37% 6,762 2,716 $478K
T1004 Services of a qualified nursing aide, up to 15 minutes 13% 10,843 618 $174K
T1001 Nursing assessment / evaluation 6.3% 1,153 980 $82K
G0162 Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) 1.4% 510 307 $18K
T1002 Rn services, up to 15 minutes <1% 42 37 $2K

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 officialELDERS, ROBERT (SECRETARY)
Same official

Other billing entities under ELDERS, ROBERT

Full network →
ProviderLocationPaid
Prospect Waterbury, INC.Waterbury, CT$84.62M
Prospect Manchester Hospital, INC.Manchester, CT$69.20M
Prospect Chartercare RWMC, LLCProvidence, RI$57.10M
Prospect CCMC, LLCChester, PA$40.89M
Prospect CT Medical Foundation, INC.Manchester, CT$34.07M
Prospect Rockville Hospital, INC.Vernon, CT$30.06M
Prospect Chartercare Sjhsri, LLCNorth Providence, RI$10.94M
Prospect DCMH, LLCDrexel Hill, PA$10.37M
Prospect CCMC, LLCChester, PA$5.46M
Alta Los Angeles Hospitals, INC.Los Angeles, CA$5.42M
Prospect CCMC, LLCChester, PA$5.03M
Prospect CCMC, LLCChester, PA$3.71M
Prospect Chartercare Physicians, LLCCranston, RI$2.31M
Prospect Echn Home Health, INC.Vernon, CT$1.75M
Prospect Health Access Network, INC.Chester, PA$1.22M
Alta Newport Hospital, LLCTustin, CA$1.16M
Prospect Health Access Network, INC.Crum Lynne, PA$924K
Prospect Health Access Network, INC.Chester, PA$872K
Prospect Chartercare Sjhsri, LLCNorth Providence, RI$858K
Prospect Health Access Network, INC.Drexel Hill, PA$815K

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