Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

NURSING HOME CARE MANAGEMENT INC.,

Home Health·PHILADELPHIA, PA·NPI: 1063426831Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $74.2M is at the 25th percentile among 322 Home Health providers.

Active Billing Period:2019-032024-11(60 months)

Total Paid

$74.2M

$74,229,186

Total Claims

477K

Beneficiaries

27K

17.7 claims/patient

Avg Cost/Claim

$156

Monthly Spending Trend

Yearly Spending

2019
$28K
+18168%
2020
$5.1M
+189%
2021
$14.8M
+4%
2022
$15.4M
+24%
2023
$19.1M
+4%
2024
$19.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (W1793 (State-defined waiver service)) accounts for 58% of total spending.

W1793Normal range

State-defined waiver service

$43.0M

296K claims · 58.0%

Your Cost: $145.27/claim|Median: $170.32
0.9× median
G0156Top 25%

Home health aide services, per visit

$11.9M

60K claims · 16.0%

Your Cost: $198.93/claim|Median: $39.42
5.0× median
T1019Top 25%

Personal care services, per 15 min

$9.6M

53K claims · 13.0%

Your Cost: $181.64/claim|Median: $82.47
2.2× median
S9122Normal range

Home health aide or certified nurse, per hour

$7.1M

47K claims · 9.6%

Your Cost: $152.00/claim|Median: $116.67
1.3× median
S9123Top 25%

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

$1.4M

3,168 claims · 1.9%

Your Cost: $451.07/claim|Median: $124.86
3.6× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$651K

9,370 claims · 0.9%

Your Cost: $69.50/claim|Median: $51.67
1.3× median
S5185Normal range

Medication reminder service, NOS, per month

$356K

7,337 claims · 0.5%

Your Cost: $48.46/claim|Median: $44.39
1.1× median
S9131Normal range

Physical therapy, in the home, per diem

$82K

1,252 claims · 0.1%

Your Cost: $65.47/claim|Median: $90.35
0.7× median
W2025Top 1%

$61K

330 claims · 0.1%

Your Cost: $184.86/claim|Median: $118.84
1.6× median