Agency
Hearts of Gold Prenatal Care LLC
Hearts of Gold Prenatal Care LLC was paid $668K by Medicaid between May 2022 and Jun 2023, across 3 billing codes. Its largest line is T1016, Case management, each 15 minutes — 100% of everything it billed.
33Billing provider infoHEARTS OF GOLD PRENATAL CARE LLC
MILWAUKEE, WI 53216
MILWAUKEE, WI 53216
33aNPI1316530819assigned 02/16/2021
33bProvider typeCase Management Agency
28Total paid$668K
24GClaims14,339
24DCodes billed3
24AFirst – last monthMay 2022 – Jun 2023
Compared with peers
Next to other Case Management Agency providers in Wisconsin
Rank by total paid#71 of 156
Median peer was paid$578K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2022 | 11,284 | $534K | |
| 2023 | 3,055 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 100% | 14,303 | 2,102 | $666K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 18 | 17 | $845.00 |
| H1000 | Prenatal care, at-risk assessment | <1% | 18 | 17 | $721.14 |
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 officialWASHINGTON, ALICIA (OWNER)