Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Priority Home Health Care, INC

Priority Home Health Care, INC was paid $9.15M by Medicaid between Jan 2018 and Jun 2022, across 4 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 79% of everything it billed.

33Billing provider infoPRIORITY HOME HEALTH CARE, INC
MIDDLEBURG HEIGHTS, OH 44130
33aNPI1578512018assigned 05/10/2006
33bProvider typeHome Health Agency
28Total paid$9.15M
24GClaims168,627
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Home Health Agency providers in Ohio

Rank by total paid#133 of 915
Median peer was paid$1.83M
This provider vs. median5.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ANDERSON, DARBY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201860,125$3.06M
201958,393$3.22M
202038,652$2.30M
20218,653$427K
20222,804$143K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 79% 111,041 5,580 $7.26M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 20% 56,775 3,009 $1.86M
T1001 Nursing assessment / evaluation <1% 740 674 $20K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes <1% 71 65 $2K

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 officialANDERSON, DARBY (EVP, CHIEF STRATEGY OFFICER)
Parent organizationADDUS HEALTH CARE INC
Same official

Other billing entities under ANDERSON, DARBY

Full network →
ProviderLocationPaid
Girling Health Care, INC.Austin, TX$858.20M
South Shore Home Health Service, INC.Ronkonkoma, NY$356.44M
Cura Partners, LLCJohnson City, TN$49.26M
A Plus Health Care INCKalispell, MT$28.19M
Addus Healthcare (South Carolina), INC.Wintersville, OH$25.57M
Addus Healthcare, INC.Detroit, MI$18.48M
Addus Health Care INCRolla, MO$15.75M
Addus Health Care INCBrinkley, AR$13.06M
Addus Healthcare (South Carolina), INC.Columbia, SC$12.17M
Addus Healthcare, INC.Santa Fe, NM$10.55M
Prac Holdings, INC.Phoenix, AZ$8.92M
County Homemakers INCDu Bois, PA$8.58M
South Shore Home Health Service, INC.Ronkonkoma, NY$7.80M
Addus Healthcare (South Carolina), INC.North Wilkesboro, NC$7.19M
Addus Health Care INCRolla, MO$6.63M
Addus Healthcare, INC.Meridian, ID$6.15M
Prac Holdings, INC.Marquette, MI$5.97M
Addus Healthcare (South Carolina), INC.Sumter, SC$5.49M
Addus Healthcare (South Carolina), INC.Greenville, SC$4.49M
Addus Health Care INCRolla, MO$4.31M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.