Agency
Caresphere LLC
Caresphere LLC was paid $7.34M by Medicaid between Mar 2021 and Dec 2024, across 5 billing codes. Its largest line is G0156, Services of home health/hospice aide in home health or hospice settings, each 15 minutes — 52% of everything it billed.
33Billing provider infoCARESPHERE LLC
BETHLEHEM, PA 18018
BETHLEHEM, PA 18018
33aNPI1801448204assigned 07/15/2019
33bProvider typeHome Health Agency
28Total paid$7.34M
24GClaims35,202
24DCodes billed5
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Pennsylvania
Rank by total paid#129 of 404
Median peer was paid$2.66M
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2021 | 2,752 | $425K | |
| 2022 | 5,862 | $1.10M | |
| 2023 | 9,689 | $2.15M | |
| 2024incomplete | 16,899 | $3.66M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 52% | 18,683 | 864 | $3.84M |
| 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) | 23% | 8,501 | 472 | $1.69M |
| W7060 | 15% | 3,276 | 215 | $1.07M | |
| S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | 10% | 4,659 | 359 | $736K |
| W1793 | State-specific procedure code | <1% | 83 | 19 | $12K |
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 officialMANDEL, YITA (PRESIDENT)
Parent organizationCARESPHERE LLC
| Provider | Location | Paid |
|---|---|---|
| RX Home Care INC. | Bethlehem, PA | $180K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.