Agency
A Physicians Home Care
A Physicians Home Care was paid $247.92M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 95% of everything it billed.
33Billing provider infoA PHYSICIANS HOME CARE
COLORADO SPRINGS, CO 80907
COLORADO SPRINGS, CO 80907
33aNPI1417486531assigned 06/12/2017
33bProvider typeIn Home Supportive Care Agency
28Total paid$247.92M
24GClaims989,004
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in Colorado
Rank by total paid#1 of 159
Median peer was paid$2.71M
This provider vs. median91×
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 Concentration95% of spending on code H0038 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 | |
|---|---|---|---|
| 2018 | 4,072 | $7.02M | |
| 2019 | 8,545 | $12.44M | |
| 2020 | 64,002 | $19.17M | |
| 2021 | 248,490 | $28.60M | |
| 2022 | 188,097 | $44.50M | |
| 2023 | 217,121 | $60.61M | |
| 2024incomplete | 258,677 | $75.58M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 95% | 789,149 | 29,231 | $234.42M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 4.9% | 169,544 | 6,278 | $12.14M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | <1% | 30,311 | 1,565 | $1.37M |
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 officialGUSTAFSON, ERIC (OFFICE ADMISTRATOR)