PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC.
NPI 1053306191, organization, Athens, GA, Home Health
- Part of provider network D1-00086, ranked 86 nationally.
- Medicaid dollars per patient on code 97164 ($149 per patient-month) sit in the top 5% of every provider billing that code.
Provider networks
D1-00086 ranked 86National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PIEDMONT ATHENS REGIONAL MEDICAL CENTER, INC. (also PIEDMONT HOME HEALTH) |
| Type | Organization |
| Status | Active |
| NPI issued | September 14, 2005, last updated March 29, 2021 |
| Practice location | 1550 TIMOTHY RD STE 201B, Athens, GA 30606-7835, 833-719-1991 |
| Authorized official | SANDRA EPPS (Director) |
| Specialties | Home Health (251E00000X, primary, license 029-233-H GA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| S9123 | Nursing care in the home by RN per hour | $323K | 81% | $211 | $365 (top 5% from $10K) | 30th percentile | |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | $57K | 14% | $149 | $36 (top 5% from $102) | 99th percentile | |
| 97162 | Evaluation for physical therapy, typically 30 minutes | $14K | 3% | $63 | $48 (top 5% from $145) | 73rd percentile | |
| S9124 | Nursing care in the home by LPN per hour | $2K | 0% | $115 | $7K (top 5% from $15K) | too few months to rank | |
| G0151 | PT in home health or hospice setting each 15 min | $1K | 0% | $114 | $203 (top 5% from $565) | too few months to rank |
In this area
2 providers in Clarke County, GA carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | HOSPICE ADVANTAGE, LLC Athens, GA, ranked 3602 | $0 |
|
| 3 | BRIGHT HOSPICE CARE LLC Athens, GA, ranked 5061 | $0 |
|
Recent enforcement in GA
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.