Is HARMONY HOMES OF MIAMI, INC flagged for Medicaid fraud?

HARMONY HOMES OF MIAMI, INC (NPI: 1164612552) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does HARMONY HOMES OF MIAMI, INC bill Medicaid?

HARMONY HOMES OF MIAMI, INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Home Health provider. Located in MIAMI, FL.

What is NPI 1164612552?

NPI 1164612552 is the National Provider Identifier for HARMONY HOMES OF MIAMI, INC. They are a Home Health provider based in MIAMI, FL. This NPI is registered with the CMS NPI Registry.

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HARMONY HOMES OF MIAMI, INC

Home Health·MIAMI, FL·NPI: 1164612552Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.4M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$41.4M

$41,444,568

Total Claims

1.2M

Beneficiaries

64K

18.7 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018

$743K

+698%

2019

$5.9M

+0%

2020

$5.9M

-7%

2021

$5.5M

+5%

2022

$5.8M

+49%

2023

$8.6M

+2%

2024

$8.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 45% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1019Personal care services, per 15 minSee all providers →

$18.8M

409K claims

$45.84

$82.47

0.6×

Normal range

T1019Normal range

Personal care services, per 15 min

$18.8M

409K claims · 45.3%

Your Cost: $45.84/claim|Median: $82.47

0.6× median

S5130Homemaker service, NOS; per 15 minSee all providers →

$8.9M

361K claims

$24.69

$48.76

0.5×

Normal range

S5130Normal range

Homemaker service, NOS; per 15 min

$8.9M

361K claims · 21.5%

Your Cost: $24.69/claim|Median: $48.76

0.5× median

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

$3.5M

63K claims

$55.88

$116.67

0.5×

Normal range

S9122Normal range

Home health aide or certified nurse, per hour

$3.5M

63K claims · 8.5%

Your Cost: $55.88/claim|Median: $116.67

0.5× median

T1004Services of a qualified nursing aide, per 15 minutesSee all providers →

$2.9M

80K claims

$36.00

$50.30

0.7×

Normal range

T1004Normal range

Services of a qualified nursing aide, per 15 minutes

$2.9M

80K claims · 6.9%

Your Cost: $36.00/claim|Median: $50.30

0.7× median

S5135Companion care, adult, per diemSee all providers →

$2.6M

101K claims

$25.97

$52.25

0.5×

Normal range

S5135Normal range

Companion care, adult, per diem

$2.6M

101K claims · 6.3%

Your Cost: $25.97/claim|Median: $52.25

0.5× median

T1021Home health aide visit, per 15 minSee all providers →

$2.3M

124K claims

$18.91

$44.79

0.4×

Normal range

T1021Normal range

Home health aide visit, per 15 min

$2.3M

124K claims · 5.6%

Your Cost: $18.91/claim|Median: $44.79

0.4× median

S5150Unskilled respite care, per 15 minSee all providers →

$2.0M

49K claims

$40.80

$84.46

0.5×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$2.0M

49K claims · 4.8%

Your Cost: $40.80/claim|Median: $84.46

0.5× median

T1030Nursing care, in the home, by RN, per diemSee all providers →

$245K

6,265 claims

$39.08

$85.62

0.5×

Normal range

T1030Normal range

Nursing care, in the home, by RN, per diem

$245K

6,265 claims · 0.6%

Your Cost: $39.08/claim|Median: $85.62

0.5× median

T1031Nursing care, in the home, by LPN, per diemSee all providers →

$225K

6,614 claims

$33.97

$80.56

0.4×

Normal range

T1031Normal range

Nursing care, in the home, by LPN, per diem

$225K

6,614 claims · 0.5%

Your Cost: $33.97/claim|Median: $80.56

0.4× median

G0157Services of PT assistant in home health, per 15 minSee all providers →

1,061 claims

$0.00

$43.94

—

Normal range

G0157Normal range

Services of PT assistant in home health, per 15 min

1,061 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.94

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

2,036 claims

$0.00

$51.67

—

Normal range

G0299Normal range

Skilled nursing services, home health, per visit, RN

2,036 claims · 0.0%

Your Cost: $0.00/claim|Median: $51.67

Q5001Injection, filgrastim-sndz, biosimilar, 1 mcgSee all providers →

497 claims

$0.00

$23.43

—

Normal range

Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

497 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43

G0151Physical therapy services, home health, per visitSee all providers →

405 claims

$0.00

$67.94

—

Normal range

G0151Normal range

Physical therapy services, home health, per visit

405 claims · 0.0%

Your Cost: $0.00/claim|Median: $67.94

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