Agency
Prohealth Home Care INC
Prohealth Home Care INC was paid $256K by Medicaid between Jan 2018 and Aug 2024, across 2 billing codes. Its largest line is 99600, Unlisted home visit service or procedure — 86% of everything it billed.
33Billing provider infoPROHEALTH HOME CARE INC
WAUKESHA, WI 53188
WAUKESHA, WI 53188
33aNPI1497720767assigned 02/21/2006
33bProvider typeHome Health Agency
28Total paid$256K
24GClaims4,728
24DCodes billed2
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Home Health Agency providers in Wisconsin
Rank by total paid#42 of 78
Median peer was paid$287K
This provider vs. median0.9×
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 | 342 | $16K | |
| 2019 | 818 | $38K | |
| 2020 | 706 | $51K | |
| 2021 | 1,505 | $82K | |
| 2022 | 472 | $22K | |
| 2023 | 683 | $33K | |
| 2024incomplete | 202 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99600 | Unlisted home visit service or procedure | 86% | 4,080 | 608 | $221K |
| 97799 | 14% | 648 | 137 | $35K |
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 officialJOHNSON, THOMAS (REIMBURSEMENT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Lakeview Behavioral Health INC. | Grand Rapids, MN | $15.98M |
| Crossroads Support Services, INC | Goldsboro, NC | $13.54M |
| Prohealth Medical Group INC. | Waukesha, WI | $8.25M |
| Hometown Recovery and Counseling LLC | Ironton, OH | $6.60M |
| New England Allergy,asthma,immunology and Primary Care P.C. | North Andover, MA | $2.01M |
| Thomas N Johnson Optometric Corp | Sauk Rapids, MN | $653K |
| Waukesha Health System, INC | Waukesha, WI | $283K |
| Urban Life Counseling Center, INC. | East Orange, NJ | $255K |
| DR Thomas D Johnson PLLC | Mt Washington, KY | $77K |
| GMN Associates | Richardson, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.