Agency
South County Hospice, INC.
South County Hospice, INC. was paid $454K by Medicaid between Aug 2022 and Apr 2024, across 6 billing codes. Its largest line is Q5001, Hospice or home health care provided in patient's home/residence — 93% of everything it billed.
33Billing provider infoSOUTH COUNTY HOSPICE, INC.
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1518322593assigned 12/17/2015
33bProvider typeCommunity Based Hospice Care Agency
28Total paid$454K
24GClaims2,372
24DCodes billed6
24AFirst – last monthAug 2022 – Apr 2024
Compared with peers
Next to other Community Based Hospice Care Agency providers in California
Rank by total paid#289 of 557
Median peer was paid$511K
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 | |
|---|---|---|---|
| 2022 | 212 | $4K | |
| 2023 | 1,869 | $444K | |
| 2024incomplete | 291 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q5001 | Hospice or home health care provided in patient's home/residence | 93% | 146 | 138 | $421K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 4.6% | 881 | 287 | $21K |
| 0250 | 1.6% | 1,002 | 134 | $7K | |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | <1% | 296 | 63 | $5K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | <1% | 20 | 13 | $361.43 |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | <1% | 27 | 27 | $80.00 |
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 officialSPENCER, DAVID (CEO)
| Provider | Location | Paid |
|---|---|---|
| Luke & Spencer Behavioral Health PLLC | Idaho Falls, ID | $85K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.