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A N D HOME HEALTHCARE LLC

Home Health·MCKINNEY, TX·NPI: 1336454461Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.7M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$44.7M

$44,717,117

Total Claims

226K

Beneficiaries

34K

6.6 claims/patient

Avg Cost/Claim

$198

Monthly Spending Trend

Yearly Spending

2018
$4.2M
+20%
2019
$5.0M
+6%
2020
$5.3M
+16%
2021
$6.1M
+50%
2022
$9.2M
-11%
2023
$8.2M
-16%
2024
$6.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T2026 (Specialized transportation, waiver, per trip)) accounts for 71% of total spending.

T2026Top 25%

Specialized transportation, waiver, per trip

$31.7M

45K claims · 70.9%

Your Cost: $709.94/claim|Median: $170.05
4.2× median
H2016Normal range

Comprehensive community support services, per 15 min

$3.7M

7,424 claims · 8.2%

Your Cost: $495.03/claim|Median: $321.53
1.5× median
97124Top 25%

$2.1M

25K claims · 4.6%

Your Cost: $82.93/claim|Median: $17.78
4.7× median
G0100Top 25%

$1.5M

12K claims · 3.3%

Your Cost: $129.75/claim|Median: $82.82
1.6× median
H2032Top 25%

Activity therapy, per 15 minutes

$1.2M

6,084 claims · 2.7%

Your Cost: $198.96/claim|Median: $108.23
1.8× median
T2016Normal range

Habilitation, residential, waiver; per diem

$1.2M

11K claims · 2.6%

Your Cost: $101.04/claim|Median: $331.94
0.3× median
M0123Top 1%

$628K

8,245 claims · 1.4%

Your Cost: $76.14/claim|Median: $76.14
1.0× median
G0176Normal range

Activity therapy (group), per session

$611K

8,493 claims · 1.4%

Your Cost: $71.92/claim|Median: $85.09
0.8× median
G0648Normal range

$450K

45K claims · 1.0%

Your Cost: $10.04/claim|Median: $13.92
0.7× median
H2014Normal range

Skills training & development, per 15 min

$412K

8,469 claims · 0.9%

Your Cost: $48.69/claim|Median: $83.88
0.6× median
97113Top 25%

$355K

3,931 claims · 0.8%

Your Cost: $90.37/claim|Median: $51.02
1.8× median
T1002Top 25%

RN services, per 15 minutes

$187K

1,434 claims · 0.4%

Your Cost: $130.39/claim|Median: $37.42
3.5× median
S8940Normal range

$151K

2,021 claims · 0.3%

Your Cost: $74.80/claim|Median: $95.40
0.8× median
T2020Normal range

Day habilitation, waiver; per diem

$143K

4,166 claims · 0.3%

Your Cost: $34.33/claim|Median: $87.34
0.4× median
S5150Normal range

Unskilled respite care, per 15 min

$107K

1,080 claims · 0.2%

Your Cost: $99.00/claim|Median: $84.46
1.2× median
M0122Top 1%

$104K

1,436 claims · 0.2%

Your Cost: $72.56/claim|Median: $72.56
1.0× median
M0360Normal range

$93K

23K claims · 0.2%

Your Cost: $4.07/claim|Median: $102.43
0.0× median
M0116Top 10%

$75K

2,163 claims · 0.2%

Your Cost: $34.70/claim|Median: $32.07
1.1× median
M0240Normal range

$22K

5,814 claims · 0.0%

Your Cost: $3.80/claim|Median: $141.71
0.0× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$20K

107 claims · 0.0%

Your Cost: $186.00/claim|Median: $84.12
2.2× median
D0120Top 1%

Periodic oral evaluation, established patient

$17K

29 claims · 0.0%

Your Cost: $592.41/claim|Median: $24.34
24.3× median
M0299Top 10%

$14K

192 claims · 0.0%

Your Cost: $75.48/claim|Median: $34.98
2.2× median
M0201Normal range

$5K

173 claims · 0.0%

Your Cost: $28.63/claim|Median: $18.33
1.6× median
M0419Normal range

-$4K

4,514 claims · -0.0%

Your Cost: $-0.90/claim|Median: $12.20

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