Agency
Personal Care Concepts, INC
Personal Care Concepts, INC was paid $7.49M by Medicaid between Jan 2018 and Jul 2024, across 3 billing codes. Its largest line is 99600, Unlisted home visit service or procedure — 95% of everything it billed.
33Billing provider infoPERSONAL CARE CONCEPTS, INC
MARION, IN 46953
MARION, IN 46953
33aNPI1659468817assigned 10/09/2006
33bProvider typeHome Health Agency
28Total paid$7.49M
24GClaims74,630
24DCodes billed3
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Home Health Agency providers in Indiana
Rank by total paid#18 of 189
Median peer was paid$771K
This provider vs. median9.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration95% of spending on code 99600 with only 3 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 | |
|---|---|---|---|
| 2018 | 17,826 | $1.54M | |
| 2019 | 14,531 | $1.34M | |
| 2020 | 11,169 | $1.14M | |
| 2021 | 10,046 | $1.09M | |
| 2022 | 8,789 | $908K | |
| 2023 | 8,048 | $935K | |
| 2024incomplete | 4,221 | $549K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99600 | Unlisted home visit service or procedure | 95% | 63,740 | 2,627 | $7.15M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 3.3% | 6,496 | 433 | $249K |
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 1.3% | 4,394 | 422 | $96K |
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 officialTIPTON, BETH (VICE PRESIDENT)