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GULF COAST COMMUNITY HEALTH SERVICES, INC

Home Health·HOUSTON, TX·NPI: 1285705442Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.9M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$44.9M

$44,940,132

Total Claims

565K

Beneficiaries

34K

16.8 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+4%
2019
$2.0M
+65%
2020
$3.3M
+180%
2021
$9.4M
+2%
2022
$9.5M
-1%
2023
$9.4M
-1%
2024
$9.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 66% of total spending.

S5125Normal range

Attendant care services, per 15 min

$29.8M

421K claims · 66.3%

Your Cost: $70.77/claim|Median: $82.34
0.9× median
T2026Top 25%

Specialized transportation, waiver, per trip

$7.3M

7,756 claims · 16.2%

Your Cost: $940.65/claim|Median: $170.05
5.5× median
T1019Normal range

Personal care services, per 15 min

$2.2M

45K claims · 4.9%

Your Cost: $49.05/claim|Median: $82.47
0.6× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$2.2M

34K claims · 4.9%

Your Cost: $65.05/claim|Median: $137.32
0.5× median
T1005Normal range

Respite care services, per 15 minutes

$1.4M

25K claims · 3.2%

Your Cost: $56.18/claim|Median: $71.40
0.8× median
H2032Top 25%

Activity therapy, per 15 minutes

$637K

2,812 claims · 1.4%

Your Cost: $226.65/claim|Median: $108.23
2.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$396K

6,615 claims · 0.9%

Your Cost: $59.92/claim|Median: $96.24
0.6× median
97124Top 25%

$359K

4,384 claims · 0.8%

Your Cost: $82.00/claim|Median: $17.78
4.6× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$283K

4,419 claims · 0.6%

Your Cost: $64.07/claim|Median: $51.67
1.2× median
G0648Normal range

$177K

13K claims · 0.4%

Your Cost: $13.92/claim|Median: $13.92
1.0× median
G0100Top 25%

$90K

595 claims · 0.2%

Your Cost: $151.68/claim|Median: $82.82
1.8× median
G0176Normal range

Activity therapy (group), per session

$47K

619 claims · 0.1%

Your Cost: $75.88/claim|Median: $85.09
0.9× median
T2040Normal range

Financial management, self-directed; per month

$32K

467 claims · 0.1%

Your Cost: $67.92/claim|Median: $108.97
0.6× median