Centria Healthcare LLC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 4 procedure codes: H0031 at 3.5× median, 0374T at 1.0× median.
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
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $338.01 per claim for H0031 (Mental health assessment by non-physician) — 3.5× the national median of $96.18.
Billing in the top 1% nationally for 1 procedure code: 0374T.
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 $590.6M is at the 90th percentile among 322 Home Health providers.
Above 90th percentile for this specialty — higher spending than 289 of 322 peers
Total Paid
$590.6M
$590,623,456
Total Claims
2.8M
Beneficiaries
358K
7.7 claims/patient
Avg Cost/Claim
$214
#93 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Centria Healthcare LLC is a Home Health provider based in Farmington Hills, MI. From the 2018–2024 period, this provider received $590.6M in Medicaid payments across 2.8M claims.
Why This Matters
This provider received $590.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 73,827 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 30 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 59% of total spending.
$345.5M
1.4M claims
$251.76
$167.38
Adaptive behavior treatment by protocol, per 15 min
$345.5M
1.4M claims · 58.5%
$76.3M
381K claims
$200.54
$146.45
Adaptive behavior treatment with protocol modification, per 15 minutes
$76.3M
381K claims · 12.9%
$62.5M
170K claims
$367.44
$402.76
Private duty/independent nursing service(s)
$62.5M
170K claims · 10.6%
$43.1M
227K claims
$190.28
$106.05
Adaptive behavior treatment, each additional thirty minutes
$43.1M
227K claims · 7.3%
$17.9M
111K claims
$161.63
$84.12
Therapeutic behavioral services, per 15 min
$17.9M
111K claims · 3.0%
$9.0M
48K claims · 1.5%
$6.1M
226K claims · 1.0%
Waiver services, NOS, per diem
$5.6M
28K claims · 0.9%
$5.1M
57K claims · 0.9%
Behavior identification assessment
$5.0M
19K claims · 0.9%
$2.9M
49K claims · 0.5%
$2.6M
8K claims · 0.4%
$1.5M
14K claims
$108.54
$80.64
Mental health service plan development
$1.5M
14K claims · 0.3%
$1.4M
9K claims
$155.12
$137.86
Behavioral health day treatment, per hour
$1.4M
9K claims · 0.2%
$1.2M
10K claims · 0.2%
$1.2M
3K claims · 0.2%
$1.1M
3K claims
$338.01
$96.18
Mental health assessment by non-physician
$1.1M
3K claims · 0.2%
$960K
3K claims · 0.2%
$205K
2K claims
$113.25
$85.02
Mental health services, not otherwise specified
$205K
2K claims · 0.0%
$187K
1K claims
$153.18
$227.82
Multisystemic therapy for juveniles, per 15 minutes
$187K
1K claims · 0.0%
$177K
2K claims
$71.18
$74.36
Home care training, family; per 15 min
$177K
2K claims · 0.0%
Therapeutic exercises, each 15 min
$162K
3K claims · 0.0%
Speech/hearing/language treatment
$159K
2K claims · 0.0%
$119K
1K claims
$108.60
$150.51
Day habilitation, waiver; per 15 min
$119K
1K claims · 0.0%
$84K
3K claims
$25.59
$15.37
Telehealth originating site facility fee
$84K
3K claims · 0.0%
$60K
107 claims · 0.0%
$43K
206 claims
$207.72
$92.96
Psychological/neuropsychological testing, each additional 30 min
$43K
206 claims · 0.0%
$39K
391 claims
$101.01
$79.21
Psychological testing evaluation by professional, first hour
$39K
391 claims · 0.0%
$23K
95 claims
$237.50
$133.38
Psychological testing evaluation, each additional hour
$23K
95 claims · 0.0%
$22K
452 claims
$49.12
$87.13
Home care training, family member, per session
$22K
452 claims · 0.0%
Other Top Providers in Michigan
View all →Guardiantrac. LLC
Community/Behavioral Health
$2.68B
Integra Partners LLC
Orthotic Fitter
$422.3M
Community Mental Health Authority of Clinton Eaton Ingham Counties
Clinic/Center Mental Health (Including Community
$368.4M
Macomb Oakland Regional Center Inc.
Community/Behavioral Health
$342.6M
J&b Medical Supply CO INC
Durable Medical Equipment & Medical Supplies
$339.0M
Similar Providers
Other top providers in Home Health