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Horizon Home Care Services, Inc.

Home Health·Bronx, NY·NPI: 1619363678Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $330.2M is at the 75th percentile among 322 Home Health providers.

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

Total Paid

$330.2M

$330,224,738

Total Claims

2.6M

Beneficiaries

161K

16.0 claims/patient

Avg Cost/Claim

$128

#217 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Horizon Home Care Services, Inc. is a Home Health provider based in Bronx, NY. From the 2018–2024 period, this provider received $330.2M in Medicaid payments across 2.6M claims.

Why This Matters

This provider received $330.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 41,278 Medicaid beneficiaries for a full year at average per-enrollee costs.

235% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$25.0M
+33%
2019
$33.3M
-5%
2020
$31.7M
+10%
2021
$34.7M
+41%
2022
$48.8M
+49%
2023
$72.8M
+15%
2024
$84.0M

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 97% of total spending.

T1019Normal range

Personal care services, per 15 min

$319.9M

2.5M claims · 96.9%

Your Cost: $126.25/claim|Median: $82.47
1.5× median
T1020Normal range

Personal care services, per diem

$10.1M

37K claims · 3.1%

Your Cost: $274.68/claim|Median: $296.27
0.9× median
99199Top 5%

Unlisted special service, procedure, or report

$151K

781 claims · 0.0%

Your Cost: $193.09/claim|Median: $5.39
35.8× median
T1022Normal range

$89K

472 claims · 0.0%

Your Cost: $188.31/claim|Median: $184.03
1.0× median