Palliative Home Care of Niagara, INC.

Palliative Home Care of Niagara, INC. was paid $30.91M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 92% of everything it billed.

33Billing provider infoPALLIATIVE HOME CARE OF NIAGARA, INC.
NIAGARA FALLS, NY 14304

33aNPI1487931093assigned 11/10/2011

33bProvider typeHome Health Agency

28Total paid$30.91M

24GClaims245,613

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in New York

Rank by total paid#315 of 851

Median peer was paid$15.00M

This provider vs. median2.1×

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	39,025	$4.33M
2019	44,012	$4.89M
2020	47,046	$5.20M
2021	31,419	$3.64M
2022	26,362	$3.70M
2023	31,736	$5.02M
2024incomplete	26,013	$4.14M

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)	92%	204,360	12,916	$28.44M
S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	2.4%	5,532	304	$755K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	1.4%	15,089	15,003	$440K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	<1%	1,948	1,893	$241K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	<1%	1,678	1,606	$216K
E1399	Durable medical equipment, miscellaneous	<1%	1,067	445	$128K
A4554	Disposable underpads, all sizes	<1%	2,710	2,664	$124K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	<1%	2,340	2,301	$111K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	<1%	1,206	1,161	$104K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)	<1%	714	691	$95K
S0215	Non-emergency transportation; mileage, per mile	<1%	1,825	587	$84K
A0130	Non-emergency transportation: wheelchair van	<1%	1,014	370	$65K

8 more codes

S0209	Wheelchair van, mileage, per mile	<1%	1,013	$32K
T4537	Incontinence product, protective underpad, reusable, bed size, each	<1%	600	$24K
A0100	Non-emergency taxi ride to a medical appointment	<1%	1,827	$21K
A4927	Gloves, non-sterile, per 100	<1%	2,129	$15K
T4540	Incontinence product, protective underpad, reusable, chair size, each	<1%	229	$8K
S5160	Emergency response system; installation and testing	<1%	122	$3K
E0570	Nebulizer, with compressor	<1%	196	$3K
K0739	Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes	<1%	14	$1K

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 officialLOMEO, JOHN (CEO)