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Heritage Home Healthcare Services Inc.

Home Health·Albuquerque, NM·NPI: 1316029549Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $141.2M is at the 50th percentile among 322 Home Health providers.

Active Billing Period:2018-012024-12(84 months)
Sharp billing drop in final month

Total Paid

$141.2M

$141,183,941

Total Claims

1.4M

Beneficiaries

118K

11.7 claims/patient

Avg Cost/Claim

$102

#781 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Heritage Home Healthcare Services Inc. is a Home Health provider based in Albuquerque, NM. From the 2018–2024 period, this provider received $141.2M in Medicaid payments across 1.4M claims.

Why This Matters

This provider received $141.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,647 Medicaid beneficiaries for a full year at average per-enrollee costs.

6% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.4M
+2%
2019
$18.9M
+7%
2020
$20.2M
+3%
2021
$20.8M
+3%
2022
$21.4M
+3%
2023
$22.1M
-12%
2024
$19.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 46% of total spending.

T1019Normal range

Personal care services, per 15 min

$65.2M

961K claims · 46.1%

Your Cost: $67.81/claim|Median: $82.47
0.8× median
99509Top 5%

Home visit, assistance w/ ADLs

$48.8M

160K claims · 34.5%

Your Cost: $304.72/claim|Median: $51.71
5.9× median
S5125Normal range

Attendant care services, per 15 min

$21.4M

226K claims · 15.2%

Your Cost: $94.78/claim|Median: $82.34
1.1× median
G9006Normal range

Coordination of long-term care services, per hour

$5.7M

36K claims · 4.1%

Your Cost: $159.96/claim|Median: $204.93
0.8× median
S5110Top 10%

Home care training, family; per 15 min

$113K

546 claims · 0.1%

Your Cost: $207.69/claim|Median: $74.36
2.8× median
G9005Normal range

Coordinated care fee, risk-adjusted, ESRD

$2K

122 claims · 0.0%

Your Cost: $12.91/claim|Median: $47.08
0.3× median