Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

TRI-COUNTY GROUP XV, INC.

Home Health·KENNETT, MO·NPI: 1316097157Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $113.2M is at the 25th percentile among 322 Home Health providers.

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

Total Paid

$113.2M

$113,155,845

Total Claims

1.9M

Beneficiaries

159K

12.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$9.5M
+11%
2019
$10.6M
+36%
2020
$14.3M
+9%
2021
$15.6M
+16%
2022
$18.1M
+25%
2023
$22.7M
-1%
2024
$22.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 93% of total spending.

T1019Normal range

Personal care services, per 15 min

$105.5M

1.8M claims · 93.2%

Your Cost: $60.00/claim|Median: $82.47
0.7× median
T1001Normal range

Nursing assessment/evaluation, per visit

$7.7M

159K claims · 6.8%

Your Cost: $48.22/claim|Median: $49.05
1.0× median
S5130Normal range

Homemaker service, NOS; per 15 min

$0

400 claims · 0.0%

Your Cost: $0.00/claim|Median: $48.76
T1028Normal range

Assessment of home, physical & family environments

$0

105 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.30
S5150Normal range

Unskilled respite care, per 15 min

$0

1,906 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.46