Encompass Health Home, LLC

Encompass Health Home, LLC was paid $26.08M by Medicaid between Jan 2019 and Apr 2024, across 4 billing codes. Its largest line is T2022, Case management, per month — 69% of everything it billed.

33Billing provider infoENCOMPASS HEALTH HOME, LLC
BINGHAMTON, NY 13905

33aNPI1689710154assigned 01/30/2007

33bProvider typeVoluntary or Charitable Agency

28Total paid$26.08M

24GClaims60,494

24DCodes billed4

24AFirst – last monthJan 2019 – Apr 2024

Compared with peers

Next to other Voluntary or Charitable Agency providers in New York

Rank by total paid#4 of 54

Median peer was paid$3.68M

This provider vs. median7.1×

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.

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
2019	5,982	$2.40M
2020	19,661	$8.09M
2021	18,561	$7.88M
2022	9,280	$4.13M
2023	5,645	$2.88M
2024incomplete	1,365	$704K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2022	Case management, per month	69%	36,571	36,565	$17.93M
G9005	Coordinated care fee, risk adjusted maintenance	30%	22,438	22,438	$7.94M
G0506	Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	<1%	893	893	$165K
G9001	Coordinated care fee, initial rate	<1%	592	592	$44K

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 officialDIEGERT, MARY (CFO)