Agency
Caresense Health LLC
Caresense Health LLC was paid $37.14M by Medicaid between Sep 2020 and Dec 2024, across 6 billing codes. Its largest line is W1793, State-specific procedure code — 38% of everything it billed.
33Billing provider infoCARESENSE HEALTH LLC
MONTGOMERYVILLE, PA 18936
MONTGOMERYVILLE, PA 18936
33aNPI1952696353assigned 06/14/2011
33bProvider typeHome Health Agency
28Total paid$37.14M
24GClaims183,949
24DCodes billed6
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Pennsylvania
Rank by total paid#24 of 404
Median peer was paid$2.66M
This provider vs. median14×
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 | |
|---|---|---|---|
| 2020 | 3,404 | $668K | |
| 2021 | 27,370 | $4.77M | |
| 2022 | 35,555 | $7.41M | |
| 2023 | 46,990 | $9.55M | |
| 2024incomplete | 70,630 | $14.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| W1793 | State-specific procedure code | 38% | 74,265 | 3,063 | $13.93M |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 31% | 54,020 | 2,295 | $11.50M |
| 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) | 19% | 33,064 | 1,529 | $7.04M |
| S9122 | Home health aide or certified nurse assistant, providing care in the home; per hour | 8.7% | 19,071 | 962 | $3.23M |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 3.9% | 3,485 | 179 | $1.44M |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 44 | 43 | $2K |
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 officialDALFIN, GABRIEL (DIRECTOR)