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

Avamere Home Health Care, LLC

Avamere Home Health Care, LLC was paid $234K by Medicaid between Jan 2018 and Sep 2022, across 9 billing codes. Its largest line is G0151, Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes — 40% of everything it billed.

33Billing provider infoAVAMERE HOME HEALTH CARE, LLC
BELLINGHAM, WA 98226
33aNPI1649368853assigned 10/11/2006
33bProvider typeHome Health Agency
28Total paid$234K
24GClaims12,022
24DCodes billed9
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers

Next to other Home Health Agency providers in Washington

Rank by total paid#30 of 70
Median peer was paid$149K
This provider vs. median1.6×

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 THOMAS, ROBERT controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20182,342$18K
20192,560$44K
20203,301$57K
20213,633$102K
2022186$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 40% 2,879 1,407 $93K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 35% 3,851 1,493 $82K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 15% 1,327 743 $36K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 9.8% 1,549 542 $23K
Q5001 Hospice or home health care provided in patient's home/residence 0% 857 825 $0.00
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes 0% 1,313 501 $0.00
G0493 Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) 0% 185 72 $0.00
G0158 Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes 0% 48 25 $0.00
Q5002 Hospice or home health care provided in assisted living facility 0% 13 12 $0.00

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 officialTHOMAS, ROBERT (PRESIDENT)
Same official

Other billing entities under THOMAS, ROBERT

Full network →
ProviderLocationPaid
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Robert L Thomas MD FCCP LLCWalterboro, SC$253K
A-One Home Health Services, LLCEverett, WA$236K
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Lehigh Valley Hospital HazletonHazleton, PA$193K
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Lehigh Valley HospitalAllentown, PA$70K
Northwest Hospice LLCTigard, OR$33K

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