Agency
Potential Home Health Care INC.
Potential Home Health Care INC. was paid $6.20M by Medicaid between Dec 2018 and Dec 2024, across 4 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 61% of everything it billed.
33Billing provider infoPOTENTIAL HOME HEALTH CARE INC.
MIAMI, FL 33176
MIAMI, FL 33176
33aNPI1609018670assigned 04/06/2009
33bProvider typeHome Health Agency
28Total paid$6.20M
24GClaims156,752
24DCodes billed4
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Florida
Rank by total paid#178 of 904
Median peer was paid$933K
This provider vs. median6.7×
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 | 2,622 | $87K | |
| 2019 | 27,483 | $1.04M | |
| 2020 | 24,131 | $783K | |
| 2021 | 31,706 | $916K | |
| 2022 | 26,768 | $863K | |
| 2023 | 24,875 | $1.29M | |
| 2024incomplete | 19,167 | $1.23M |
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) | 61% | 75,058 | 3,580 | $3.78M |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 30% | 64,610 | 4,062 | $1.85M |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | 9.0% | 16,229 | 1,227 | $557K |
| T1004 | Services of a qualified nursing aide, up to 15 minutes | <1% | 855 | 37 | $24K |
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 officialGARCIA, OSCAR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Instituto Medico Familiar INC | Canovanas, PR | $1.16M |
| Oscar J Garcia MD PA | Edinburg, TX | $46K |
| Instituto Medico Familiar Del Este | Canovanas, PR | $112.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.