CENTRUS PREMIER HOME CARE INC
NPI 1194711226, organization, Plymouth, MA, Home Health
- Billed more hands-on hours than a day holds in 2 months, peaking at 27.7 hours per day across 1 billing organization.
- Medicaid dollars per patient on code T1002 ($8745 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| May 2023 | More than 24 hours per patient per day | 3.3 | 539.9 | 359.9 | 0.0 | 13 | 1 | T1002 | $229K |
| Jun 2023 | More than 24 hours per patient per day | 3.9 | 556.2 | 370.8 | 0.0 | 15 | 1 | T1002 | $228K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CENTRUS PREMIER HOME CARE INC |
| Type | Organization |
| Status | Active |
| NPI issued | September 23, 2005, last updated October 10, 2018 |
| Practice location | 225 WATER ST STE C-101, Plymouth, MA 02360-4060, 508-747-3521 |
| Mailing address | 225 WATER ST, SUITE A-150, Plymouth, MA 02360-9964 |
| Authorized official | DAVID KOWALCZYK (Regional VP of Finance) |
| Specialties | Home Health (251E00000X, primary, license 251E00000X MA) |
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 | |
|---|---|---|---|---|---|---|---|
| T1002 | RN services up to 15 min | $5.8M | 66% | $9K | $68 (top 5% from $2K) | 99th percentile | |
| T1003 | LPN/LVN services up to 15 min | $2.9M | 34% | $5K | $54 (top 5% from $10K) | 84th percentile |
In this area
8 providers in Plymouth County, MA carry an indicator in the public record, with $6.5M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 3. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DANA BEHAVIORAL HEALTH INC Hanover, MA, ranked 77 | $6K |
|
| 3 | ROYAL NORWELL NURSING & REHABILITATION CENTER LLC Norwell, MA, ranked 1200 | $366K |
|
| 3 | ALLIANCE HEALTH OF BROCKTON, INC. Brockton, MA, ranked 2616 | $0 |
|
| 3 | M&O HEALTH SERVICES LLC Brockton, MA, ranked 2942 | $0 |
|
| 4 | SARAH REGO Norwell, MA, ranked 9244 | $443K |
|
| 5 | KIMBERLY CESARIO Hingham, MA, ranked 9893 | $5.4M |
|
| 5 | APOTHECARE PHARMACY LLC Brockton, MA, ranked 10476 | $73K |
|
| 5 | NANCY SALERNO Hingham, MA, ranked 11438 | $227K |
Recent enforcement in MA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
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.