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ARC PRIMARY CARE, LLC.

Home Health·EDINBURG, TX·NPI: 1306103759Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.3M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$42.3M

$42,343,944

Total Claims

583K

Beneficiaries

24K

24.2 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-7%
2019
$1.7M
+74%
2020
$3.0M
+243%
2021
$10.2M
-6%
2022
$9.6M
-11%
2023
$8.5M
-13%
2024
$7.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 64% of total spending.

S5125Normal range

Attendant care services, per 15 min

$27.1M

512K claims · 64.0%

Your Cost: $52.98/claim|Median: $82.34
0.6× median
T1000Top 5%

Private duty/independent nursing service(s)

$13.2M

8,068 claims · 31.2%

Your Cost: $1,635.20/claim|Median: $402.76
4.1× median
T1005Normal range

Respite care services, per 15 minutes

$1.1M

29K claims · 2.5%

Your Cost: $37.30/claim|Median: $71.40
0.5× median
T1019Normal range

Personal care services, per 15 min

$967K

34K claims · 2.3%

Your Cost: $28.22/claim|Median: $82.47
0.3× median