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

PRO-HEALTH CARE, INC

Home Health·COLUMBIA HEIGHTS, MN·NPI: 1932384666Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $55.1M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$55.1M

$55,104,059

Total Claims

743K

Beneficiaries

28K

26.1 claims/patient

Avg Cost/Claim

$74

Monthly Spending Trend

Yearly Spending

2018
$6.8M
+59%
2019
$10.9M
+6%
2020
$11.5M
-0%
2021
$11.4M
-34%
2022
$7.6M
-74%
2023
$2.0M
+148%
2024
$4.9M

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 86% of total spending.

T1019Normal range

Personal care services, per 15 min

$47.4M

636K claims · 86.0%

Your Cost: $74.55/claim|Median: $82.47
0.9× median
S5135Top 25%

Companion care, adult, per diem

$5.0M

42K claims · 9.1%

Your Cost: $118.64/claim|Median: $52.25
2.3× median
S5130Normal range

Homemaker service, NOS; per 15 min

$2.2M

60K claims · 4.0%

Your Cost: $37.05/claim|Median: $48.76
0.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$475K

5,186 claims · 0.9%

Your Cost: $91.61/claim|Median: $96.24
1.0× median