Quality One Care Home Health Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $578.45 per claim for T1003 (LPN/LVN services, per 15 minutes), which is 23.9× the national median of $24.24.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $61.8M is at the below 25th percentile among 322 Home Health providers.
Total Paid
$61.8M
$61,799,222
Total Claims
104K
Beneficiaries
7K
15.8 claims/patient
Avg Cost/Claim
$594
🔍 Analysis
Provider Overview
Quality One Care Home Health Inc. is a Home Health provider based in Silver Spring, MD. From the 2018–2024 period, this provider received $61.8M in Medicaid payments across 104K claims.
Why This Matters
At $61.8M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
Other Top Providers in Maryland
View all →Similar Providers
Other top providers in Home Health