Centrus Premier Home Care INC
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $255.51 per claim for T1003 (LPN/LVN services, per 15 minutes), which is 10.5× the national median of $24.24.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: T1002 at 8.6× median, T1004 at 5.2× median.
High Cost Per Claim
Average payment per claim is much higher than peers billing the same procedures.
High Claims Per Patient
Filing an unusually high number of claims per beneficiary compared to peers.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
High Cost Per Claim
High Cost Per Claim means each individual claim from this provider costs significantly more than what other providers charge for the same services. This could indicate upcoding (billing for more expensive services than provided) or legitimate specialized care.
High Claims Per Patient
High Claims Per Patient means this provider files an unusually high number of claims per individual patient. This could indicate legitimate intensive treatment or a pattern of billing for services not actually rendered.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $321.05 per claim for T1002 (RN services, per 15 minutes) — 8.6× the national median of $37.42.
Bills $255.51 per claim for T1003 (LPN/LVN services, per 15 minutes) — 10.5× the national median of $24.24.
Bills $263.54 per claim for T1004 (Services of a qualified nursing aide, per 15 minutes) — 5.2× the national median of $50.30.
Billing above the 90th percentile for 3 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $201.0M is at the 50th percentile among 322 Home Health providers.
Total Paid
$201.0M
$200,964,429
Total Claims
678K
Beneficiaries
30K
22.7 claims/patient
Avg Cost/Claim
$296
#451 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Centrus Premier Home Care INC is a Home Health provider based in Plymouth, MA. From the 2018–2024 period, this provider received $201.0M in Medicaid payments across 678K claims.
Why This Matters
This provider received $201.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 25,120 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 5 distinct procedure codes. The top code (T1002 (RN services, per 15 minutes)) accounts for 61% of total spending.
RN services, per 15 minutes
$123.4M
384K claims · 61.4%
LPN/LVN services, per 15 minutes
$71.2M
279K claims · 35.4%
$3.4M
13K claims
$263.54
$50.30
Services of a qualified nursing aide, per 15 minutes
$3.4M
13K claims · 1.7%
$2.9M
2K claims
$1,534.84
$85.62
Nursing care, in the home, by RN, per diem
$2.9M
2K claims · 1.4%
$15K
229 claims
$65.41
$51.67
Skilled nursing services, home health, per visit, RN
$15K
229 claims · 0.0%
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