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ESSENCE HEALTH CARE, INC.

Home Health·HOUSTON, TX·NPI: 1538127022Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.1M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$21.1M

$21,131,496

Total Claims

276K

Beneficiaries

14K

19.4 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+4%
2019
$1.2M
+56%
2020
$1.8M
+111%
2021
$3.9M
+18%
2022
$4.6M
-7%
2023
$4.3M
+2%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 47% of total spending.

S5125Normal range

Attendant care services, per 15 min

$10.0M

191K claims · 47.2%

Your Cost: $52.15/claim|Median: $82.34
0.6× median
T2026Normal range

Specialized transportation, waiver, per trip

$8.3M

49K claims · 39.5%

Your Cost: $170.05/claim|Median: $170.05
1.0× median
T1005Normal range

Respite care services, per 15 minutes

$776K

16K claims · 3.7%

Your Cost: $48.89/claim|Median: $71.40
0.7× median
97124Top 1%

$754K

1,781 claims · 3.6%

Your Cost: $423.49/claim|Median: $17.78
23.8× median
T1019Normal range

Personal care services, per 15 min

$582K

12K claims · 2.8%

Your Cost: $47.01/claim|Median: $82.47
0.6× median
H2032Top 5%

Activity therapy, per 15 minutes

$246K

327 claims · 1.2%

Your Cost: $752.57/claim|Median: $108.23
7.0× median
G0100Normal range

$229K

3,594 claims · 1.1%

Your Cost: $63.81/claim|Median: $82.82
0.8× median
G0648Top 5%

$199K

1,796 claims · 0.9%

Your Cost: $110.87/claim|Median: $13.92
8.0× median
G0176Top 25%

Activity therapy (group), per session

$20K

89 claims · 0.1%

Your Cost: $224.46/claim|Median: $85.09
2.6× median