CARE ADVANTAGE, INC
NPI: 1023187036
· RICHMOND, VA 23219
· Home Health Agency
· NPI assigned 11/06/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$10.01M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: JOHNSTON, DEBORAH
| Provider | City | State | Total Paid |
|---|
| CARE ADVANTAGE, INC |
NORTH CHESTERFIELD |
VA |
$56.95M |
| CARE ADVANTAGE, INC |
NEWPORT NEWS |
VA |
$17.43M |
| CARE ADVANTAGE, INC. |
STAUNTON |
VA |
$11.27M |
| CARE ADVANTAGE, INC |
RICHMOND |
VA |
$10.70M |
| CARE ADVANTAGE, INC |
COLONIAL HEIGHTS |
VA |
$10.38M |
| CARE ADVANTAGE, INC. |
ROANOKE |
VA |
$8.47M |
| CARE ADVANTAGE, INC |
VIRGINIA BEACH |
VA |
$8.30M |
| CARE ADVANTAGE, INC. |
EMPORIA |
VA |
$7.33M |
| CARE ADVANTAGE, INC. |
FRANKLIN |
VA |
$6.09M |
| CARE ADVANTAGE, INC. |
RICHMOND |
VA |
$5.65M |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,977 |
$1.17M |
| 2019 |
10,116 |
$1.34M |
| 2020 |
17,462 |
$1.25M |
| 2021 |
13,978 |
$1.22M |
| 2022 |
13,781 |
$1.29M |
| 2023 |
18,936 |
$1.87M |
| 2024 |
19,260 |
$1.87M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal 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) |
83,708 |
4,998 |
$9.14M |
| T1005 |
Respite care services, up to 15 minutes |
13,719 |
1,969 |
$774K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
83 |
49 |
$89K |