Agency
Elkhart Assisted Living LLC
Elkhart Assisted Living LLC was paid $1.46M by Medicaid between Jun 2019 and Jan 2023, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 98% of everything it billed.
33Billing provider infoELKHART ASSISTED LIVING LLC
PORTSMOUTH, VA 23704
PORTSMOUTH, VA 23704
33aNPI1013485234assigned 11/06/2018
33bProvider typeIn Home Supportive Care Agency
28Total paid$1.46M
24GClaims14,351
24DCodes billed2
24AFirst – last monthJun 2019 – Jan 2023
Compared with peers
Next to other In Home Supportive Care Agency providers in Virginia
Rank by total paid#68 of 106
Median peer was paid$2.84M
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 125 | $66K | |
| 2020 | 3,951 | $388K | |
| 2021 | 5,751 | $519K | |
| 2022 | 4,384 | $468K | |
| 2023 | 140 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 98% | 14,330 | 573 | $1.43M |
| G2021 | Health care practitioners rendering treatment in place (tip) | 1.8% | 21 | 12 | $26K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKELLY, VALENCIA (OWNER/PRESIDENT)