Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $155.2M is at the 50th percentile among 322 Home Health providers.
Total Paid
$155.2M
$155,187,563
Total Claims
1.1M
Beneficiaries
44K
24.3 claims/patient
Avg Cost/Claim
$146
#684 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Effective Home Care L.l.c. is a Home Health provider based in Astoria, NY. From the 2018–2024 period, this provider received $155.2M in Medicaid payments across 1.1M claims.
Why This Matters
This provider received $155.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,398 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 99% of total spending.
$153.7M
1.1M claims
$145.64
$82.47
Personal care services, per 15 min
$153.7M
1.1M claims · 99.0%
$981K
3,038 claims
$322.83
$296.27
Personal care services, per diem
$981K
3,038 claims · 0.6%
$277K
1,637 claims · 0.2%
$241K
977 claims
$247.13
$259.38
Supported employment, waiver, per diem
$241K
977 claims · 0.2%
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