Is RED ROCK HEALTHCARE, INC. flagged for Medicaid fraud?

RED ROCK HEALTHCARE, INC. (NPI: 1588930705) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does RED ROCK HEALTHCARE, INC. bill Medicaid?

RED ROCK HEALTHCARE, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Home Health provider. Located in ST GEORGE, UT.

What is NPI 1588930705?

NPI 1588930705 is the National Provider Identifier for RED ROCK HEALTHCARE, INC.. They are a Home Health provider based in ST GEORGE, UT. This NPI is registered with the CMS NPI Registry.

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RED ROCK HEALTHCARE, INC.

Home Health·ST GEORGE, UT·NPI: 1588930705Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.2M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$27.2M

$27,225,387

Total Claims

122K

Beneficiaries

18K

6.8 claims/patient

Avg Cost/Claim

$223

Monthly Spending Trend

Yearly Spending

2018

$1.3M

+167%

2019

$3.6M

+26%

2020

$4.5M

+17%

2021

$5.2M

-10%

2022

$4.7M

-9%

2023

$4.3M

-13%

2024

$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T1030 (Nursing care, in the home, by RN, per diem)) accounts for 36% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1030Nursing care, in the home, by RN, per diemSee all providers →

$9.9M

13K claims

$753.03

$85.62

8.8×

Top 5%

T1030Top 5%

Nursing care, in the home, by RN, per diem

$9.9M

13K claims · 36.3%

Your Cost: $753.03/claim|Median: $85.62

8.8× median

T1021Home health aide visit, per 15 minSee all providers →

$8.7M

49K claims

$177.57

$44.79

4.0×

Top 10%

T1021Top 10%

Home health aide visit, per 15 min

$8.7M

49K claims · 31.9%

Your Cost: $177.57/claim|Median: $44.79

4.0× median

T1003LPN/LVN services, per 15 minutesSee all providers →

$2.5M

3,281 claims

$759.28

$24.24

31.3×

Top 5%

T1003Top 5%

LPN/LVN services, per 15 minutes

$2.5M

3,281 claims · 9.2%

Your Cost: $759.28/claim|Median: $24.24

31.3× median

T1001Nursing assessment/evaluation, per visitSee all providers →

$2.2M

3,942 claims

$549.80

$49.05

11.2×

Top 1%

T1001Top 1%

Nursing assessment/evaluation, per visit

$2.2M

3,942 claims · 8.0%

Your Cost: $549.80/claim|Median: $49.05

11.2× median

S9122Home health aide or certified nurse, per hourSee all providers →

$1.6M

32K claims

$48.74

$116.67

0.4×

Normal range

S9122Normal range

Home health aide or certified nurse, per hour

$1.6M

32K claims · 5.7%

Your Cost: $48.74/claim|Median: $116.67

0.4× median

T1019Personal care services, per 15 minSee all providers →

$1.2M

5,914 claims

$201.67

$82.47

2.4×

Top 25%

T1019Top 25%

Personal care services, per 15 min

$1.2M

5,914 claims · 4.4%

Your Cost: $201.67/claim|Median: $82.47

2.4× median

S9123Nursing care, in the home, by RN, per 15 minutesSee all providers →

$569K

1,122 claims

$506.81

$124.86

4.1×

Top 25%

S9123Top 25%

Nursing care, in the home, by RN, per 15 minutes

$569K

1,122 claims · 2.1%

Your Cost: $506.81/claim|Median: $124.86

4.1× median

S9131Physical therapy, in the home, per diemSee all providers →

$520K

2,645 claims

$196.43

$90.35

2.2×

Top 5%

S9131Top 5%

Physical therapy, in the home, per diem

$520K

2,645 claims · 1.9%

Your Cost: $196.43/claim|Median: $90.35

2.2× median

G0299Skilled nursing services, home health, per visit, RNSee all providers →

$170K

7,660 claims

$22.13

$51.67

0.4×

Normal range

G0299Normal range

Skilled nursing services, home health, per visit, RN

$170K

7,660 claims · 0.6%

Your Cost: $22.13/claim|Median: $51.67

0.4× median

G0151Physical therapy services, home health, per visitSee all providers →

$2K

2,173 claims

$0.75

$67.94

0.0×

Normal range

G0151Normal range

Physical therapy services, home health, per visit

$2K

2,173 claims · 0.0%

Your Cost: $0.75/claim|Median: $67.94

0.0× median

G0152Occupational therapy services, home health, per visitSee all providers →

$27

726 claims

$0.04

$68.93

0.0×

Normal range

G0152Normal range

Occupational therapy services, home health, per visit

$27

726 claims · 0.0%

Your Cost: $0.04/claim|Median: $68.93

0.0× median

G0157Services of PT assistant in home health, per 15 minSee all providers →

61 claims

$0.00

$43.94

—

Normal range

G0157Normal range

Services of PT assistant in home health, per 15 min

61 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.94

Q5001Injection, filgrastim-sndz, biosimilar, 1 mcgSee all providers →

786 claims

$0.00

$23.43

—

Normal range

Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

786 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43

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