Preferred Home Health Care & Nursing Services Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $428.91 per claim for T1003 (LPN/LVN services, per 15 minutes), which is 17.7× the national median of $24.24.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $428.91 per claim for T1003 (LPN/LVN services, per 15 minutes) — 17.7× the national median of $24.24.
Bills $464.65 per claim for T1002 (RN services, per 15 minutes) — 12.4× the national median of $37.42.
Bills $447.40 per claim for S9123 (Nursing care, in the home, by RN, per 15 minutes) — 3.6× the national median of $124.86.
This is a statistical summary, not an accusation. See our methodology.
Compared to Home Health Peers
Total spending distribution among 322 providers in this specialty
This provider's total spending of $224.6M is at the 50th percentile among 322 Home Health providers.
Total Paid
$224.6M
$224,601,484
Total Claims
577K
Beneficiaries
38K
15.1 claims/patient
Avg Cost/Claim
$389
#376 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Preferred Home Health Care & Nursing Services Inc. is a Home Health provider based in Mount Laurel, NJ. From the 2018–2024 period, this provider received $224.6M in Medicaid payments across 577K claims.
Why This Matters
This provider received $224.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 28,075 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 13 distinct procedure codes. The top code (T1003 (LPN/LVN services, per 15 minutes)) accounts for 50% of total spending.
LPN/LVN services, per 15 minutes
$112.4M
262K claims · 50.0%
$48.6M
113K claims
$430.41
$400.25
Nursing care, in the home; per hour
$48.6M
113K claims · 21.6%
RN services, per 15 minutes
$41.9M
90K claims · 18.7%
$14.5M
32K claims
$447.40
$124.86
Nursing care, in the home, by RN, per 15 minutes
$14.5M
32K claims · 6.4%
$6.1M
72K claims
$84.09
$82.47
Personal care services, per 15 min
$6.1M
72K claims · 2.7%
Breast pump, electric, any type
$668K
4K claims · 0.3%
$487K
1K claims
$368.90
$402.76
Private duty/independent nursing service(s)
$487K
1K claims · 0.2%
$36K
1K claims · 0.0%
$22K
381 claims · 0.0%
$674
88 claims · 0.0%
$555
89 claims · 0.0%
$484
89 claims · 0.0%
$59
18 claims · 0.0%
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