Is PRK WILLIAMS INC. flagged for Medicaid fraud?

PRK WILLIAMS INC. (NPI: 1093956146) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PRK WILLIAMS INC. bill Medicaid?

PRK WILLIAMS INC. received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a In Home Supportive Care provider. Located in CEDAR RAPIDS, IA.

What is NPI 1093956146?

NPI 1093956146 is the National Provider Identifier for PRK WILLIAMS INC.. They are a In Home Supportive Care provider based in CEDAR RAPIDS, IA. This NPI is registered with the CMS NPI Registry.

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PRK WILLIAMS INC.

In Home Supportive Care·CEDAR RAPIDS, IA·NPI: 1093956146Share

Compared to In Home Supportive Care Peers

Total spending distribution among 57 providers in this specialty

P25MedianP75P90

This provider's total spending of $57.5M is at the 25th percentile among 57 In Home Supportive Care providers.

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

Total Paid

$57.5M

$57,502,791

Total Claims

387K

Beneficiaries

34K

11.4 claims/patient

Avg Cost/Claim

$148

Monthly Spending Trend

Yearly Spending

2018

$3.9M

+72%

2019

$6.7M

+16%

2020

$7.8M

+12%

2021

$8.8M

+4%

2022

$9.1M

+9%

2023

$9.9M

+14%

2024

$11.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 36% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2016Comprehensive community support services, per 15 minSee all providers →

$20.5M

86K claims

$239.39

$321.53

0.7×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$20.5M

86K claims · 35.7%

Your Cost: $239.39/claim|Median: $321.53

0.7× median

S5136Companion care, adult, per 15 minutesSee all providers →

$15.2M

56K claims

$273.31

$302.34

0.9×

Normal range

S5136Normal range

Companion care, adult, per 15 minutes

$15.2M

56K claims · 26.5%

Your Cost: $273.31/claim|Median: $302.34

0.9× median

T2020Day habilitation, waiver; per diemSee all providers →

$7.6M

91K claims

$82.97

$87.34

0.9×

Normal range

T2020Normal range

Day habilitation, waiver; per diem

$7.6M

91K claims · 13.2%

Your Cost: $82.97/claim|Median: $87.34

0.9× median

S0215Non-invasive prenatal screening, fetal chromosomal abnormalitiesSee all providers →

$3.5M

62K claims

$56.44

$21.33

2.6×

Top 25%

S0215Top 25%

Non-invasive prenatal screening, fetal chromosomal abnormalities

$3.5M

62K claims · 6.1%

Your Cost: $56.44/claim|Median: $21.33

2.6× median

T2016Habilitation, residential, waiver; per diemSee all providers →

$3.3M

1,585 claims

$2,087.89

$331.94

6.3×

Top 25%

T2016Top 25%

Habilitation, residential, waiver; per diem

$3.3M

1,585 claims · 5.8%

Your Cost: $2,087.89/claim|Median: $331.94

6.3× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$2.8M

17K claims

$159.65

$150.51

1.1×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$2.8M

17K claims · 4.8%

Your Cost: $159.65/claim|Median: $150.51

1.1× median

T2003Non-emergency transport; encounter/tripSee all providers →

$2.7M

35K claims

$78.44

$21.70

3.6×

Top 10%

T2003Top 10%

Non-emergency transport; encounter/trip

$2.7M

35K claims · 4.7%

Your Cost: $78.44/claim|Median: $21.70

3.6× median

H2015Comprehensive community support services, per 15 minSee all providers →

$439K

4,569 claims

$95.97

$96.24

1.0×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$439K

4,569 claims · 0.8%

Your Cost: $95.97/claim|Median: $96.24

1.0× median

A0100Non-emergency transportation; per tripSee all providers →

$434K

14K claims

$31.77

$24.72

1.3×

Normal range

A0100Normal range

Non-emergency transportation; per trip

$434K

14K claims · 0.8%

Your Cost: $31.77/claim|Median: $24.72

1.3× median

S5130Homemaker service, NOS; per 15 minSee all providers →

$428K

9,876 claims

$43.38

$48.76

0.9×

Normal range

S5130Normal range

Homemaker service, NOS; per 15 min

$428K

9,876 claims · 0.7%

Your Cost: $43.38/claim|Median: $48.76

0.9× median

G0156Home health aide services, per visitSee all providers →

$164K

3,136 claims

$52.37

$39.42

1.3×

Normal range

G0156Normal range

Home health aide services, per visit

$164K

3,136 claims · 0.3%

Your Cost: $52.37/claim|Median: $39.42

1.3× median

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

$101K

990 claims

$102.34

$51.67

2.0×

Top 25%

G0299Top 25%

Skilled nursing services, home health, per visit, RN

$101K

990 claims · 0.2%

Your Cost: $102.34/claim|Median: $51.67

2.0× median

A0130Non-emergency wheelchair van transportSee all providers →

$81K

2,217 claims

$36.51

$29.37

1.2×

Normal range

A0130Normal range

Non-emergency wheelchair van transport

$81K

2,217 claims · 0.1%

Your Cost: $36.51/claim|Median: $29.37

1.2× median

S5125Attendant care services, per 15 minSee all providers →

$81K

2,861 claims

$28.23

$82.34

0.3×

Normal range

S5125Normal range

Attendant care services, per 15 min

$81K

2,861 claims · 0.1%

Your Cost: $28.23/claim|Median: $82.34

0.3× median

H2025Ongoing support to maintain employment, per 15 minSee all providers →

$68K

280 claims

$243.56

$100.49

2.4×

Top 25%

H2025Top 25%

Ongoing support to maintain employment, per 15 min

$68K

280 claims · 0.1%

Your Cost: $243.56/claim|Median: $100.49

2.4× median

T2018 See all providers →

$41K

356 claims

$114.77

$117.28

1.0×

Normal range

T2018Normal range

$41K

356 claims · 0.1%

Your Cost: $114.77/claim|Median: $117.28

1.0× median

G0300Skilled nursing services, home health, per visit, LPNSee all providers →

$33K

300 claims

$110.55

$45.50

2.4×

Top 25%

G0300Top 25%

Skilled nursing services, home health, per visit, LPN

$33K

300 claims · 0.1%

Your Cost: $110.55/claim|Median: $45.50

2.4× median

T2034Crisis intervention, per 15 minSee all providers →

396 claims

$0.00

$254.45

—

Normal range

T2034Normal range

Crisis intervention, per 15 min

396 claims · 0.0%

Your Cost: $0.00/claim|Median: $254.45

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