Managed care
Prestige Home Health Services LLC
Prestige Home Health Services LLC was paid $2.41M by Medicaid between Mar 2020 and Dec 2024, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoPRESTIGE HOME HEALTH SERVICES LLC
WESTERVILLE, OH 43081
WESTERVILLE, OH 43081
33aNPI1609321710assigned 08/18/2016
33bProvider typeHealth Maintenance Organization
28Total paid$2.41M
24GClaims63,639
24DCodes billed1
24AFirst – last monthMar 2020 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
High Claims/Beneficiary Ratio62 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more
Single-Code Concentration100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2020 | 9,070 | $314K | |
| 2021 | 13,671 | $471K | |
| 2022 | 12,623 | $494K | |
| 2023 | 15,406 | $342K | |
| 2024incomplete | 12,869 | $792K |
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) | 100% | 63,639 | 1,031 | $2.41M |
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 officialJAMA, ABDI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Faradah Adult Day Care, LLC | Columbus, OH | $2.27M |
| Westgate Adult Day Care LLC | Columbus, OH | $569K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.