Horizon Home Care LLC

Horizon Home Care LLC was paid $8.31M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoHORIZON HOME CARE LLC
KANSAS CITY, MO 64110

33aNPI1710343025assigned 01/04/2016

33bProvider typeHome Health Agency

28Total paid$8.31M

24GClaims92,738

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Missouri

Rank by total paid#53 of 572

Median peer was paid$1.41M

This provider vs. median5.9×

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 Concentration99% of spending on code T1019 with only 2 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	3,333	$754K
2019	4,355	$1.04M
2020	3,280	$1.31M
2021	21,095	$1.38M
2022	22,940	$1.28M
2023	20,183	$1.30M
2024incomplete	17,552	$1.25M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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)	99%	90,595	6,003	$8.21M
T1001	Nursing assessment / evaluation	1.1%	2,143	649	$94K

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 officialELMI, MUSE (OWNER)