Is INTERIM HEALTHCARE OF PITTSBURGH, INC. flagged for Medicaid fraud?

INTERIM HEALTHCARE OF PITTSBURGH, INC. (NPI: 1033213186) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does INTERIM HEALTHCARE OF PITTSBURGH, INC. bill Medicaid?

INTERIM HEALTHCARE OF PITTSBURGH, INC. received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Home Health provider. Located in PITTSBURGH, PA.

What is NPI 1033213186?

NPI 1033213186 is the National Provider Identifier for INTERIM HEALTHCARE OF PITTSBURGH, INC.. They are a Home Health provider based in PITTSBURGH, PA. This NPI is registered with the CMS NPI Registry.

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INTERIM HEALTHCARE OF PITTSBURGH, INC.

Home Health·PITTSBURGH, PA·NPI: 1033213186Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $80.0M is at the 25th percentile among 322 Home Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$80.0M

$79,987,721

Total Claims

185K

Beneficiaries

12K

15.6 claims/patient

Avg Cost/Claim

$433

Monthly Spending Trend

Yearly Spending

2018

$4.5M

-11%

2019

$4.0M

+110%

2020

$8.3M

+158%

2021

$21.4M

-19%

2022

$17.4M

-16%

2023

$14.6M

-33%

2024

$9.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2025 (Waiver services, NOS; per 15 min)) accounts for 34% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2025Waiver services, NOS; per 15 minSee all providers →

$26.8M

51K claims

$529.75

$124.39

4.3×

Top 25%

T2025Top 25%

Waiver services, NOS; per 15 min

$26.8M

51K claims · 33.5%

Your Cost: $529.75/claim|Median: $124.39

4.3× median

S9124Nursing care, in the home; per hourSee all providers →

$21.7M

33K claims

$648.18

$400.25

1.6×

Top 25%

S9124Top 25%

Nursing care, in the home; per hour

$21.7M

33K claims · 27.1%

Your Cost: $648.18/claim|Median: $400.25

1.6× median

T1003LPN/LVN services, per 15 minutesSee all providers →

$13.7M

27K claims

$513.83

$24.24

21.2×

Top 10%

T1003Top 10%

LPN/LVN services, per 15 minutes

$13.7M

27K claims · 17.1%

Your Cost: $513.83/claim|Median: $24.24

21.2× median

S9122Home health aide or certified nurse, per hourSee all providers →

$7.5M

33K claims

$225.93

$116.67

1.9×

Top 25%

S9122Top 25%

Home health aide or certified nurse, per hour

$7.5M

33K claims · 9.4%

Your Cost: $225.93/claim|Median: $116.67

1.9× median

S9123Nursing care, in the home, by RN, per 15 minutesSee all providers →

$3.5M

7,731 claims

$450.71

$124.86

3.6×

Top 25%

S9123Top 25%

Nursing care, in the home, by RN, per 15 minutes

$3.5M

7,731 claims · 4.4%

Your Cost: $450.71/claim|Median: $124.86

3.6× median

T1019Personal care services, per 15 minSee all providers →

$2.5M

9,875 claims

$255.43

$82.47

3.1×

Top 25%

T1019Top 25%

Personal care services, per 15 min

$2.5M

9,875 claims · 3.2%

Your Cost: $255.43/claim|Median: $82.47

3.1× median

G0156Home health aide services, per visitSee all providers →

$2.0M

8,707 claims

$231.70

$39.42

5.9×

Top 10%

G0156Top 10%

Home health aide services, per visit

$2.0M

8,707 claims · 2.5%

Your Cost: $231.70/claim|Median: $39.42

5.9× median

W1793State-defined waiver serviceSee all providers →

$849K

6,251 claims

$135.85

$170.32

0.8×

Normal range

W1793Normal range

State-defined waiver service

$849K

6,251 claims · 1.1%

Your Cost: $135.85/claim|Median: $170.32

0.8× median

G0299Skilled nursing services, home health, per visit, RNSee all providers →

$474K

5,444 claims

$87.10

$51.67

1.7×

Top 25%

G0299Top 25%

Skilled nursing services, home health, per visit, RN

$474K

5,444 claims · 0.6%

Your Cost: $87.10/claim|Median: $51.67

1.7× median

T1000Private duty/independent nursing service(s)See all providers →

$445K

997 claims

$446.76

$402.76

1.1×

Normal range

T1000Normal range

Private duty/independent nursing service(s)

$445K

997 claims · 0.6%

Your Cost: $446.76/claim|Median: $402.76

1.1× median

T1002RN services, per 15 minutesSee all providers →

$290K

371 claims

$782.86

$37.42

20.9×

Top 1%

T1002Top 1%

RN services, per 15 minutes

$290K

371 claims · 0.4%

Your Cost: $782.86/claim|Median: $37.42

20.9× median

W1726 See all providers →

$200K

1,265 claims

$157.95

$167.76

0.9×

Normal range

W1726Normal range

$200K

1,265 claims · 0.2%

Your Cost: $157.95/claim|Median: $167.76

0.9× median

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