Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

PREMIUM CARE USA LLC

In Home Supportive Care·FAIRFAX, VA·NPI: 1679941181Share

Compared to In Home Supportive Care Peers

Total spending distribution among 57 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.8M is at the 25th percentile among 57 In Home Supportive Care providers.

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

Total Paid

$47.8M

$47,821,820

Total Claims

281K

Beneficiaries

14K

19.6 claims/patient

Avg Cost/Claim

$170

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+28%
2019
$2.9M
+85%
2020
$5.5M
+38%
2021
$7.5M
+17%
2022
$8.8M
+19%
2023
$10.5M
-3%
2024
$10.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 90% of total spending.

T1019Top 25%

Personal care services, per 15 min

$43.0M

223K claims · 89.8%

Your Cost: $192.82/claim|Median: $82.47
2.3× median
T1005Normal range

Respite care services, per 15 minutes

$4.7M

58K claims · 9.8%

Your Cost: $80.61/claim|Median: $71.40
1.1× median
G2021Normal range

Health care common procedure coding system HCPCS lvl II

$161K

165 claims · 0.3%

Your Cost: $978.19/claim|Median: $856.03
1.1× median