Home Health · PDGM
12 patients · $30,100 per 30-day period (current episodes) · ~$366,217 annualized
Active episodes
12
PDGM HIPPS-priced
30-day revenue
$30,100
case-mix-adjusted
Top clinical group
MMTA — Cardiac & Circulatory
3 of 12 patients
Clinical group mix (top 4)
MMTA — Cardiac & Circulatory
3
MMTA — Respiratory
2
Wound
2
Musculoskeletal Rehabilitation
2
Patient roster
| Patient | Age | Payer | HIPPS | Clinical group | Func. | Comorb. | 30-day pay | SOC |
|---|---|---|---|---|---|---|---|---|
| Harold Brinkley Chronic diastolic (congestive) heart failure | 82 | Medicare | 2HBB1 Early · Institutional | MMTA — Cardiac & Circulatory | medium | low | $2,513 | 2025-08-05 |
| Ruth Fitzpatrick Heart failure, unspecified | 87 | Medicare | 2HBB1 Early · Institutional | MMTA — Cardiac & Circulatory | medium | low | $2,513 | 2025-07-22 |
| Margaret Holloway Chronic obstructive pulmonary disease, unspecified | 79 | Medicare | 2LBB1 Early · Institutional | MMTA — Respiratory | medium | low | $3,117 | 2025-11-03 |
| Carlos Mendoza Pneumonia, unspecified organism | 77 | Managed Medicare | 2LBB1 Early · Institutional | MMTA — Respiratory | medium | low | $3,117 | 2026-02-07 |
| Patricia Nguyen Type 2 diabetes mellitus with hyperglycemia | 72 | Private pay | 2IBB1 Early · Institutional | MMTA — Endocrine | medium | low | $2,815 | 2026-03-19 |
| James Okafor Type 2 diabetes mellitus with foot ulcer | 70 | Medicaid | 2CBB1 Early · Institutional | Wound | medium | low | $2,192 | 2026-03-01 |
| Gloria Reyes Aftercare following joint replacement surgery | 68 | Medicaid | 2EBB1 Early · Institutional | Musculoskeletal Rehabilitation | medium | low | $2,272 | 2026-02-28 |
| Linda Sorensen Hemiplegia following cerebral infarction affecting right dominant side | 79 | Medicare | 2BBB1 Early · Institutional | Neuro Rehabilitation | medium | low | $2,212 | 2025-10-14 |
| Yuki Tanaka Parkinson's disease | 76 | Managed Medicare | 2ABB1 Early · Institutional | MMTA — Other | medium | low | $2,111 | 2026-04-02 |
| Earl Thibodeau Pressure ulcer of sacral region, unspecified stage | 81 | Medicare | 2CBB1 Early · Institutional | Wound | medium | low | $2,192 | 2026-01-15 |
| Denise Washington Fracture of unspecified part of neck of right femur, subsequent encounter | 73 | Medicare | 2EBC1 Early · Institutional | Musculoskeletal Rehabilitation | medium | high | $2,533 | 2025-09-18 |
| Thomas Waverly Atrial fibrillation, unspecified | 85 | Medicare | 2HBB1 Early · Institutional | MMTA — Cardiac & Circulatory | medium | low | $2,513 | 2025-06-30 |
HIPPS, case-mix weight, and 30-day payment are computed deterministically by lib/verticals/home-health/computePdgmHipps() from the OASIS-E assessment + admission source + primary diagnosis. Position-1 digit encodes timing (early/late) × admission source (community/institutional). Case-mix weight is a CMS-CY2024-anchored approximation; real implementations plug in the published 432-row case-mix table.