Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OUR LADY OF LOURDES HOME HEALTH, INC.

NPI: 1316958077 · RANCHO CUCAMONGA, CA 91730 · Home Health Agency · NPI assigned 08/10/2006

$50K
Total Medicaid Paid
1,259
Total Claims
376
Beneficiaries
5
Codes Billed
2023-05
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSALEHI, MASOUD (PRESIDENT/CEO)
NPI Enumeration Date08/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 651 $28K
2024 608 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 595 184 $49K
G0495 Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes 431 106 $890.28
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 26 26 $773.60
G0493 Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) 14 14 $0.00
G0496 Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes 193 46 $0.00