Pro Care Unlimited, INC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: T1019 at 10.4× median, B4150 at 4.6× 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
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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:
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 $857.96 per claim for T1019 (Personal care services, per 15 min) — 10.4× the national median of $82.47.
Bills $415.69 per claim for B4150 (Enteral formula, nutritionally complete with fiber, per 100 calories) — 4.6× the national median of $89.79.
Billing in the top 1% nationally for 1 procedure code: B4150.
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 $216.3M is at the 50th percentile among 322 Home Health providers.
Total Paid
$216.3M
$216,341,204
Total Claims
1.7M
Beneficiaries
119K
14.5 claims/patient
Avg Cost/Claim
$125
#401 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Pro Care Unlimited, INC is a Home Health provider based in Southfield, MI. From the 2018–2024 period, this provider received $216.3M in Medicaid payments across 1.7M claims.
Why This Matters
This provider received $216.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 27,042 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 6 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 72% of total spending.
$154.7M
1.2M claims
$124.29
$96.24
Comprehensive community support services, per 15 min
$154.7M
1.2M claims · 71.5%
Personal care services, per 15 min
$31.4M
37K claims · 14.5%
$28.3M
442K claims
$63.93
$71.40
Respite care services, per 15 minutes
$28.3M
442K claims · 13.1%
Supported housing, per diem
$1.8M
4K claims · 0.8%
$74K
177 claims
$415.69
$89.79
Enteral formula, nutritionally complete with fiber, per 100 calories
$74K
177 claims · 0.0%
$14K
427 claims
$31.79
$21.33
Non-invasive prenatal screening, fetal chromosomal abnormalities
$14K
427 claims · 0.0%
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