Agency
In Home Wellcare LLC
In Home Wellcare LLC was paid $1.85M by Medicaid between Mar 2024 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 93% of everything it billed.
33Billing provider infoIN HOME WELLCARE LLC
PROVIDENCE, RI 02904
PROVIDENCE, RI 02904
33aNPI1316711195assigned 11/13/2023
33bProvider typeHome Health Agency
28Total paid$1.85M
24GClaims13,319
24DCodes billed3
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Rhode Island
Rank by total paid#29 of 43
Median peer was paid$3.62M
This provider vs. median0.5×
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.
Single-Code Concentration93% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2024incomplete | 13,319 | $1.85M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 93% | 12,090 | 507 | $1.73M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 3.5% | 768 | 119 | $66K |
| T1001 | Nursing assessment / evaluation | 3.0% | 461 | 431 | $56K |
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 officialGARCIA, KILVIA (PRESIDENT)