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

Addus Healthcare, INC.

Addus Healthcare, INC. was paid $10.55M by Medicaid between Jan 2018 and Aug 2020, across 4 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 58% of everything it billed.

33Billing provider infoADDUS HEALTHCARE, INC.
SANTA FE, NM 87506
33aNPI1619930161assigned 04/07/2006
33bProvider typeHome Health Agency
28Total paid$10.55M
24GClaims107,926
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers

Next to other Home Health Agency providers in New Mexico

Rank by total paid#31 of 78
Median peer was paid$5.35M
This provider vs. median2.0×

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$400K$600K2018201920202021202220232024
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
201840,549$3.63M
201941,372$4.10M
202026,005$2.83M
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) 58% 91,947 5,001 $6.11M
99509 Home visit for assistance with activities of daily living and personal care 36% 12,112 2,901 $3.80M
G9006 Coordinated care fee, home monitoring 6.1% 3,844 3,384 $639K
S5110 Home care training, family; per 15 minutes <1% 23 14 $5K

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 HOMECARE CORPORATION
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
Priority Home Health Care, INCMiddleburg Heights, OH$9.15M
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.