Is AGING WELL HEALTH CARE, LLC flagged for Medicaid fraud?

AGING WELL HEALTH CARE, LLC (NPI: 1215936588) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does AGING WELL HEALTH CARE, LLC bill Medicaid?

AGING WELL HEALTH CARE, LLC 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 SAINT LOUIS, MO.

What is NPI 1215936588?

NPI 1215936588 is the National Provider Identifier for AGING WELL HEALTH CARE, LLC. They are a Home Health provider based in SAINT LOUIS, MO. This NPI is registered with the CMS NPI Registry.

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AGING WELL HEALTH CARE, LLC

Home Health·SAINT LOUIS, MO·NPI: 1215936588Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.4M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$47.4M

$47,415,482

Total Claims

827K

Beneficiaries

54K

15.3 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018

$6.8M

-10%

2019

$6.1M

+3%

2020

$6.3M

+1%

2021

$6.4M

+10%

2022

$7.0M

+10%

2023

$7.7M

-7%

2024

$7.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 68% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1019Personal care services, per 15 minSee all providers →

$32.4M

524K claims

$61.95

$82.47

0.8×

Normal range

T1019Normal range

Personal care services, per 15 min

$32.4M

524K claims · 68.4%

Your Cost: $61.95/claim|Median: $82.47

0.8× median

S5150Unskilled respite care, per 15 minSee all providers →

$7.0M

138K claims

$50.87

$84.46

0.6×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$7.0M

138K claims · 14.8%

Your Cost: $50.87/claim|Median: $84.46

0.6× median

S5100Day care services, adult, per half daySee all providers →

$3.8M

52K claims

$72.96

$67.58

1.1×

Normal range

S5100Normal range

Day care services, adult, per half day

$3.8M

52K claims · 7.9%

Your Cost: $72.96/claim|Median: $67.58

1.1× median

T1001Nursing assessment/evaluation, per visitSee all providers →

$2.1M

43K claims

$48.44

$49.05

1.0×

Normal range

T1001Normal range

Nursing assessment/evaluation, per visit

$2.1M

43K claims · 4.4%

Your Cost: $48.44/claim|Median: $49.05

1.0× median

S5130Homemaker service, NOS; per 15 minSee all providers →

$1.6M

63K claims

$25.45

$48.76

0.5×

Normal range

S5130Normal range

Homemaker service, NOS; per 15 min

$1.6M

63K claims · 3.4%

Your Cost: $25.45/claim|Median: $48.76

0.5× median

97110Therapeutic exercises, each 15 minSee all providers →

$262K

3,938 claims

$66.48

$24.49

2.7×

Top 10%

97110Top 10%

Therapeutic exercises, each 15 min

$262K

3,938 claims · 0.6%

Your Cost: $66.48/claim|Median: $24.49

2.7× median

T1028Assessment of home, physical & family environmentsSee all providers →

$130K

1,777 claims

$73.24

$81.30

0.9×

Normal range

T1028Normal range

Assessment of home, physical & family environments

$130K

1,777 claims · 0.3%

Your Cost: $73.24/claim|Median: $81.30

0.9× median

97535Self-care/home management training, per 15 minutesSee all providers →

$84K

1,190 claims

$70.74

$18.18

3.9×

Top 10%

97535Top 10%

Self-care/home management training, per 15 minutes

$84K

1,190 claims · 0.2%

Your Cost: $70.74/claim|Median: $18.18

3.9× median

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

$14K

203 claims

$68.04

$51.67

1.3×

Normal range

G0299Normal range

Skilled nursing services, home health, per visit, RN

$14K

203 claims · 0.0%

Your Cost: $68.04/claim|Median: $51.67

1.3× median

92507Speech/hearing/language treatmentSee all providers →

$10K

189 claims

$51.92

$49.45

1.0×

Normal range

92507Normal range

Speech/hearing/language treatment

$10K

189 claims · 0.0%

Your Cost: $51.92/claim|Median: $49.45

1.0× median

97530Therapeutic activities, each 15 minSee all providers →

$3K

464 claims

$7.07

$33.11

0.2×

Normal range

97530Normal range

Therapeutic activities, each 15 min

$3K

464 claims · 0.0%

Your Cost: $7.07/claim|Median: $33.11

0.2× median

97112Therapeutic procedure, neuromuscular reeducation, per 15 minutesSee all providers →

$783

189 claims

$4.14

$20.04

0.2×

Normal range

97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$783

189 claims · 0.0%

Your Cost: $4.14/claim|Median: $20.04

0.2× median

97116Gait trainingSee all providers →

$614

131 claims

$4.69

$12.48

0.4×

Normal range

97116Normal range

Gait training

$614

131 claims · 0.0%

Your Cost: $4.69/claim|Median: $12.48

0.4× median

97140Manual therapy techniques, per 15 minutesSee all providers →

$499

129 claims

$3.87

$16.79

0.2×

Normal range

97140Normal range

Manual therapy techniques, per 15 minutes

$499

129 claims · 0.0%

Your Cost: $3.87/claim|Median: $16.79

0.2× median

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