Agency
Medscope America LLC
Medscope America LLC was paid $66.45M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is S5161, Emergency response system; service fee, per month (excludes installation and testing) — 91% of everything it billed.
33Billing provider infoMEDSCOPE AMERICA LLC
PHILADELPHIA, PA 19103
PHILADELPHIA, PA 19103
33aNPI1508982232assigned 03/22/2007
33bProvider typeIn Home Supportive Care Agency
28Total paid$66.45M
24GClaims2,684,056
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in Pennsylvania
Rank by total paid#1 of 115
Median peer was paid$1.41M
This provider vs. median47×
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 | 149,386 | $3.55M | |
| 2019 | 266,017 | $8.20M | |
| 2020 | 353,050 | $9.07M | |
| 2021 | 441,140 | $11.56M | |
| 2022 | 449,033 | $11.22M | |
| 2023 | 544,564 | $11.61M | |
| 2024incomplete | 480,866 | $11.24M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 91% | 2,456,787 | 2,346,370 | $60.14M |
| W1895 | 8.3% | 187,041 | 186,792 | $5.48M | |
| Z0059 | 1.1% | 36,513 | 32,635 | $741K | |
| 1223Z | <1% | 1,829 | 1,795 | $51K | |
| S5160 | Emergency response system; installation and testing | <1% | 1,874 | 1,332 | $34K |
| S5162 | Emergency response system; purchase only | 0% | 12 | 12 | $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 officialPROUGH, ALEXANDER (CHIEF COMMERCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Medscope America LLC | Denver, CO | $461K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.