HMR Acquisition, Lca

HMR Acquisition, Lca was paid $7.00M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T2022, Case management, per month — 100% of everything it billed.

33Billing provider infoHMR ACQUISITION, LCA
LOUISVILLE, KY 40207

33aNPI1922433168assigned 09/06/2013

33bProvider typeCase Management Agency

28Total paid$7.00M

24GClaims22,984

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in Kentucky

Rank by total paid#27 of 94

Median peer was paid$3.21M

This provider vs. median2.2×

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 Concentration100% of spending on code T2022 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	2,713	$672K
2019	3,152	$830K
2020	3,398	$945K
2021	3,543	$969K
2022	3,549	$1.17M
2023	3,554	$1.26M
2024incomplete	3,075	$1.15M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2022	Case management, per month	100%	22,969	21,858	$7.00M
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	<1%	15	14	$1K

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 officialCOOMES, CYNTHIA (PRESIDENT)