Integrated Home Care Services Inc.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 1686% from 2018 to 2019.
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:
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
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 $503.54 per claim for E1399 (Durable medical equipment, miscellaneous) — 4.8× the national median of $104.06.
Bills $217.56 per claim for E1392 — 20.1× the national median of $10.81.
Bills $620.48 per claim for K0739 — 18.2× the national median of $34.09.
Billing in the top 1% nationally for 2 procedure codes: E1392, K0739.
This is a statistical summary, not an accusation. See our methodology.
Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $175.7M is at the 50th percentile among 137 Case Management providers.
Total Paid
$175.7M
$175,737,982
Total Claims
4.7M
Beneficiaries
290K
16.3 claims/patient
Avg Cost/Claim
$37
#554 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Integrated Home Care Services Inc. is a Case Management provider based in Miramar, FL. From the 2018–2024 period, this provider received $175.7M in Medicaid payments across 4.7M claims.
Important Context
- ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.
Why This Matters
This provider received $175.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,967 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 (T1019 (Personal care services, per 15 min)) accounts for 40% of total spending.
$69.5M
1.2M claims
$59.81
$82.47
Personal care services, per 15 min
$69.5M
1.2M claims · 39.6%
$39.5M
2.2M claims
$17.87
$44.79
Home health aide visit, per 15 min
$39.5M
2.2M claims · 22.5%
$27.8M
782K claims
$35.61
$48.76
Homemaker service, NOS; per 15 min
$27.8M
782K claims · 15.8%
$12.7M
196K claims
$64.87
$84.46
Unskilled respite care, per 15 min
$12.7M
196K claims · 7.2%
Companion care, adult, per diem
$7.1M
197K claims · 4.0%
$2.5M
6K claims
$398.67
$465.86
Enteral formula, semisolid, 100 calories = 1 unit
$2.5M
6K claims · 1.4%
$2.1M
4K claims
$503.54
$104.06
Durable medical equipment, miscellaneous
$2.1M
4K claims · 1.2%
$2.0M
4K claims
$557.85
$317.50
Home ventilator, any type, used with non-invasive interface
$2.0M
4K claims · 1.1%
$1.9M
9K claims · 1.1%
$1.4M
2K claims
$634.21
$583.21
Home ventilator, any type, used with invasive interface
$1.4M
2K claims · 0.8%
$840K
1K claims · 0.5%
$785K
16K claims
$47.86
$55.51
Enteral/parenteral nutritional supplies, NOS
$785K
16K claims · 0.4%
$773K
7K claims
$115.29
$157.30
Enteral formula, per 100 calories
$773K
7K claims · 0.4%
$749K
19K claims
$39.63
$24.49
Therapeutic exercises, each 15 min
$749K
19K claims · 0.4%
$694K
17K claims
$40.77
$33.11
Therapeutic activities, each 15 min
$694K
17K claims · 0.4%
$666K
18K claims
$36.27
$49.45
Speech/hearing/language treatment
$666K
18K claims · 0.4%
Breast pump, electric, any type
$539K
6K claims · 0.3%
$467K
6K claims · 0.3%
$448K
5K claims
$87.28
$90.35
Physical therapy, in the home, per diem
$448K
5K claims · 0.3%
$409K
833 claims · 0.2%
$404K
5K claims
$88.33
$45.11
Oxygen concentrator, single delivery port
$404K
5K claims · 0.2%
$255K
938 claims · 0.1%
$233K
2K claims
$105.47
$89.79
Enteral formula, nutritionally complete with fiber, per 100 calories
$233K
2K claims · 0.1%
Hospital bed, semi-electric
$232K
2K claims · 0.1%
$198K
1K claims
$167.82
$92.20
Enteral formula, calorically dense, per 100 calories
$198K
1K claims · 0.1%
$124K
2K claims
$74.49
$72.77
Speech therapy, in the home, per diem
$124K
2K claims · 0.1%
OT, in the home, per diem
$110K
2K claims · 0.1%
PT evaluation, high complexity
$104K
548 claims · 0.1%
Nebulizer, with compressor
$103K
3K claims · 0.1%
$84K
481 claims
$175.32
$300.16
Enteral formula, manufactured blenderized, per 100 calories
$84K
481 claims · 0.0%
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