Agency
Open Systems Healthcare, INC.
Open Systems Healthcare, INC. was paid $72.12M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is W1793, State-specific procedure code — 44% of everything it billed.
33Billing provider infoOPEN SYSTEMS HEALTHCARE, INC.
PHILADELPHIA, PA 19103
PHILADELPHIA, PA 19103
33aNPI1609150846assigned 10/06/2011
33bProvider typeHome Health Agency
28Total paid$72.12M
24GClaims466,429
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Pennsylvania
Rank by total paid#8 of 404
Median peer was paid$2.66M
This provider vs. median27×
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 | 32,861 | $1.27M | |
| 2019 | 51,967 | $6.13M | |
| 2020 | 67,322 | $11.19M | |
| 2021 | 147,064 | $23.29M | |
| 2022 | 110,193 | $19.61M | |
| 2023 | 24,303 | $4.39M | |
| 2024incomplete | 32,719 | $6.24M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| W1793 | State-specific procedure code | 44% | 183,271 | 8,679 | $31.38M |
| 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) | 21% | 104,062 | 3,902 | $14.88M |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 9.8% | 11,894 | 526 | $7.05M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 8.5% | 75,605 | 4,405 | $6.12M |
| W7060 | 7.7% | 24,324 | 1,726 | $5.53M | |
| W1726 | 4.7% | 19,782 | 1,233 | $3.40M | |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 3.9% | 41,591 | 1,984 | $2.78M |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | <1% | 1,876 | 202 | $688K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 1,586 | 1,415 | $204K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | <1% | 2,166 | 102 | $73K |
| T1001 | Nursing assessment / evaluation | <1% | 272 | 103 | $11K |
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 officialHILL, CHARLES (CEO, MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Grenada Physical Therapy, INC | Grenada, MS | $7K |
| Kittitas County Head Start/Eceap | Kittitas, WA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.