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PRO CAREERS, INC

Home Health·CROSS LANES, WV·NPI: 1447350632Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.1M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$41.1M

$41,052,242

Total Claims

280K

Beneficiaries

60K

4.7 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$5.9M
+20%
2019
$7.1M
+8%
2020
$7.6M
+14%
2021
$8.7M
-12%
2022
$7.7M
-72%
2023
$2.2M
-15%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (S5130 (Homemaker service, NOS; per 15 min)) accounts for 64% of total spending.

S5130Top 10%

Homemaker service, NOS; per 15 min

$26.1M

68K claims · 63.7%

Your Cost: $383.11/claim|Median: $48.76
7.9× median
T1019Normal range

Personal care services, per 15 min

$11.9M

119K claims · 29.0%

Your Cost: $99.87/claim|Median: $82.47
1.2× median
T1005Normal range

Respite care services, per 15 minutes

$1.8M

43K claims · 4.3%

Your Cost: $40.43/claim|Median: $71.40
0.6× median
A0160Normal range

$429K

25K claims · 1.0%

Your Cost: $17.45/claim|Median: $12.60
1.4× median
T1002Normal range

RN services, per 15 minutes

$316K

19K claims · 0.8%

Your Cost: $16.60/claim|Median: $37.42
0.4× median
T1001Top 25%

Nursing assessment/evaluation, per visit

$223K

1,926 claims · 0.5%

Your Cost: $115.60/claim|Median: $49.05
2.4× median
S5161Top 25%

Emergency response system, per month

$107K

2,177 claims · 0.3%

Your Cost: $49.04/claim|Median: $29.97
1.6× median
G2021Normal range

Health care common procedure coding system HCPCS lvl II

$94K

185 claims · 0.2%

Your Cost: $507.45/claim|Median: $856.03
0.6× median
G9002Normal range

Coordinated care fee, maintenance period

$63K

869 claims · 0.2%

Your Cost: $71.95/claim|Median: $108.80
0.7× median
99509Normal range

Home visit, assistance w/ ADLs

$2K

75 claims · 0.0%

Your Cost: $29.40/claim|Median: $51.71
0.6× median
T1028Normal range

Assessment of home, physical & family environments

$980

16 claims · 0.0%

Your Cost: $61.26/claim|Median: $81.30
0.8× median
S5160Normal range

Emergency response system, per month

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.52