Agency
Prime Care Health Agency, INC
Prime Care Health Agency, INC was paid $596K by Medicaid between Dec 2018 and Dec 2022, across 9 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 68% of everything it billed.
33Billing provider infoPRIME CARE HEALTH AGENCY, INC
MIAMI, FL 33176
MIAMI, FL 33176
33aNPI1477556751assigned 05/31/2005
33bProvider typeHome Health Agency
28Total paid$596K
24GClaims35,879
24DCodes billed9
24AFirst – last monthDec 2018 – Dec 2022
Compared with peers
Next to other Home Health Agency providers in Florida
Rank by total paid#503 of 904
Median peer was paid$933K
This provider vs. median0.6×
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 | 1,637 | $34K | |
| 2019 | 16,154 | $348K | |
| 2020 | 7,856 | $164K | |
| 2021 | 2,029 | $50K | |
| 2022 | 8,203 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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) | 68% | 14,483 | 603 | $406K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 30% | 11,397 | 640 | $176K |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 2.5% | 1,796 | 121 | $15K |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | 0% | 1,575 | 198 | $0.00 |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 0% | 4,931 | 248 | $0.00 |
| Q5002 | Hospice or home health care provided in assisted living facility | 0% | 448 | 241 | $0.00 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 0% | 363 | 199 | $0.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 79 | 33 | $0.00 |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 0% | 807 | 28 | $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 officialGRIECO, MARIA (ADMINISTRATOR)