Agency
Macrophil, INC.
Macrophil, INC. was paid $1.51M by Medicaid between Jan 2018 and Dec 2020, across 3 billing codes. Its largest line is S9122, Home health aide or certified nurse assistant, providing care in the home; per hour — 51% of everything it billed.
33Billing provider infoMACROPHIL, INC.
WALNUT CREEK, CA 94597
WALNUT CREEK, CA 94597
33aNPI1467726109assigned 02/27/2012
33bProvider typeHome Health Agency
28Total paid$1.51M
24GClaims3,069
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Home Health Agency providers in California
Rank by total paid#211 of 1,072
Median peer was paid$9K
This provider vs. median162×
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 | |
|---|---|---|---|
| 2018 | 1,052 | $554K | |
| 2019 | 1,171 | $600K | |
| 2020 | 846 | $358K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | 51% | 1,604 | 808 | $777K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 44% | 1,373 | 1,225 | $668K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 4.5% | 92 | 36 | $68K |
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 officialGAPAS, LYDIA (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Metropacific Group, Corp | Hilo, HI | $13.27M |
| Metropacific Group, Corp | Hilo, HI | $3.40M |
| Metropacific Group, Corp | Waipahu, HI | $2.81M |
| Metropacific Group, Corp | Hilo, HI | $2.54M |
| Metropacific Group, Corp | Wailuku, HI | $1.27M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.