ELYON HOME HEALTHCARE, LLC.
NPI: 1023627452
· DUMFRIES, VA 22026
· Home Health Agency
· NPI assigned 07/31/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$2.52M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
3,632 |
$584K |
| 2023 |
5,902 |
$984K |
| 2024 |
5,085 |
$954K |
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) |
14,367 |
593 |
$2.50M |
| T1005 |
Respite care services, up to 15 minutes |
252 |
26 |
$20K |