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

South Bay Healthcare, INC.

South Bay Healthcare, INC. was paid $287K by Medicaid between Feb 2019 and Nov 2024, across 7 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 47% of everything it billed.

33Billing provider infoSOUTH BAY HEALTHCARE, INC.
MILPITAS, CA 95035
33aNPI1679951859assigned 05/08/2015
33bProvider typeHome Health Agency
28Total paid$287K
24GClaims10,642
24DCodes billed7
24AFirst – last monthFeb 2019 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in California

Rank by total paid#346 of 1,072
Median peer was paid$9K
This provider vs. median31×

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 TUELLER, AMBER 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
2019246$3K
202085$7K
2021935$68K
20221,956$80K
20234,835$60K
2024incomplete2,585$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 47% 3,044 1,665 $134K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 26% 3,322 1,548 $74K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 16% 1,552 764 $46K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 11% 1,826 904 $33K
G0155 Services of clinical social worker in home health or hospice settings, each 15 minutes <1% 18 13 $288.62
Q5001 Hospice or home health care provided in patient's home/residence 0% 719 518 $0.00
0023 Pin srv add 30 min pr m 0% 161 69 $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 officialTUELLER, AMBER (SECRETARY)
Same official

Other billing entities under TUELLER, AMBER

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