Home Care Delivered, Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 9 procedure codes: A6021 at 2.5× median, A4335 at 5.0× median.
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:
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.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Compared to Durable Medical Equipment & Medical Supplies Peers
Total spending distribution among 35 providers in this specialty
This provider's total spending of $309.5M is at the 75th percentile among 35 Durable Medical Equipment & Medical Supplies providers.
Total Paid
$309.5M
$309,522,643
Total Claims
5.9M
Beneficiaries
5.1M
1.1 claims/patient
Avg Cost/Claim
$53
#233 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Home Care Delivered, Inc. is a Durable Medical Equipment & Medical Supplies provider based in Richmond, VA. From the 2018–2024 period, this provider received $309.5M in Medicaid payments across 5.9M claims.
Why This Matters
This provider received $309.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 38,690 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 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 10% of total spending.
$29.9M
508K claims
$58.79
$99.53
Adult-sized disposable incontinence product, large
$29.9M
508K claims · 9.7%
$26.1M
337K claims
$77.50
$105.14
Adult-sized disposable incontinence product, extra-large
$26.1M
337K claims · 8.4%
$25.0M
461K claims
$54.19
$88.94
Adult-sized disposable incontinence product, medium
$25.0M
461K claims · 8.1%
$18.6M
52K claims
$356.34
$294.58
Breath test analyzer, FDA approved, disposable
$18.6M
52K claims · 6.0%
$17.9M
735K claims
$24.39
$42.03
Adult-sized disposable underpads/pads, large
$17.9M
735K claims · 5.8%
$14.6M
124K claims
$117.92
$171.64
Pediatric-sized disposable underpads/pads, small
$14.6M
124K claims · 4.7%
$13.5M
149K claims
$90.22
$110.54
Adult-sized disposable underpads/pads, small
$13.5M
149K claims · 4.4%
$9.1M
275K claims
$33.28
$41.28
Pediatric-sized disposable incontinence product, large
$9.1M
275K claims · 3.0%
$8.4M
110K claims · 2.7%
$8.4M
123K claims
$68.51
$96.13
Adult-sized disposable incontinence product, brief/diaper, small
$8.4M
123K claims · 2.7%
$8.1M
138K claims
$58.87
$84.50
Adult-sized disposable incontinence product, brief/diaper, above XL
$8.1M
138K claims · 2.6%
$7.7M
51K claims
$153.04
$177.75
Pediatric-sized disposable incontinence product, above XL
$7.7M
51K claims · 2.5%
$7.3M
13K claims
$563.41
$508.29
Intermittent urinary catheter, with insertion supplies
$7.3M
13K claims · 2.4%
$6.7M
113K claims · 2.2%
$5.6M
113K claims · 1.8%
$5.5M
44K claims
$123.12
$73.75
Supply allowance for non-insulin pump CGM, per month
$5.5M
44K claims · 1.8%
$5.4M
100K claims · 1.7%
$5.0M
72K claims
$69.98
$108.31
Adult-sized disposable incontinence product, brief/diaper, medium
$5.0M
72K claims · 1.6%
$4.5M
14K claims
$317.38
$407.76
Breath alcohol test, per administration
$4.5M
14K claims · 1.5%
$4.4M
39K claims
$113.71
$116.15
Intermittent urinary catheter, straight tip, each
$4.4M
39K claims · 1.4%
$3.8M
12K claims · 1.2%
Gloves, non-sterile, per 100
$3.6M
360K claims · 1.1%
$3.6M
31K claims
$115.68
$53.20
Supply allowance for therapeutic CGM, per month
$3.6M
31K claims · 1.1%
$3.5M
5K claims
$679.77
$466.16
External ambulatory insulin delivery system, disposable
$3.5M
5K claims · 1.1%
$3.5M
22K claims · 1.1%
$3.4M
99K claims · 1.1%
$3.0M
49K claims
$60.31
$89.79
Enteral formula, nutritionally complete with fiber, per 100 calories
$3.0M
49K claims · 1.0%
$2.5M
316K claims
$7.86
$9.88
Skin sealant protectant, moisturizer, each ounce
$2.5M
316K claims · 0.8%
$2.3M
27K claims · 0.7%
$2.2M
8K claims · 0.7%
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