A FRIEND IN NEED HOME CARE LLC
NPI: 1033672217
· EXMORE, VA 23350
· Community/Behavioral Health Agency
· NPI assigned 04/13/2019
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.
$3.09M
Total Medicaid Paid
Provider Details
| Authorized Official | LYONS, BRENDA (OWNER) |
| NPI Enumeration Date | 04/13/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,879 |
$25K |
| 2021 |
5,378 |
$356K |
| 2022 |
9,130 |
$815K |
| 2023 |
10,639 |
$994K |
| 2024 |
9,472 |
$895K |
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) |
31,653 |
1,464 |
$2.82M |
| T1005 |
Respite care services, up to 15 minutes |
4,820 |
466 |
$246K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
25 |
17 |
$18K |