Agency
Our Lady of Lourdes Home Health, INC.
Our Lady of Lourdes Home Health, INC. was paid $50K by Medicaid between May 2023 and Aug 2024, across 5 billing codes. Its largest line is G0151, Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes — 97% of everything it billed.
33Billing provider infoOUR LADY OF LOURDES HOME HEALTH, INC.
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
33aNPI1316958077assigned 08/10/2006
33bProvider typeHome Health Agency
28Total paid$50K
24GClaims1,259
24DCodes billed5
24AFirst – last monthMay 2023 – Aug 2024
Compared with peers
Next to other Home Health Agency providers in California
Rank by total paid#468 of 1,072
Median peer was paid$9K
This provider vs. median5.4×
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 | |
|---|---|---|---|
| 2023 | 651 | $28K | |
| 2024incomplete | 608 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 97% | 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 | 1.8% | 431 | 106 | $890.28 |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 1.5% | 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) | 0% | 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 | 0% | 193 | 46 | $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 officialSALEHI, MASOUD (PRESIDENT/CEO)