Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEALTH-PRO HOMECARE SERVICES, INC.

NPI: 1053739078 · NORTH CHESTERFIELD, VA 23236 · Home Health Agency · NPI assigned 04/07/2014

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$4.09M
Total Medicaid Paid
32,967
Total Claims
1,690
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAILEY, SYLVESTER (PRESIDENT)
NPI Enumeration Date04/07/2014

Related Entities

Other providers sharing the same authorized official: BAILEY, SYLVESTER

ProviderCityStateTotal Paid
HEALTH-PRO HOMECARE SERVICES, INC. GREENVILLE NC $10.05M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,200 $490K
2019 1,800 $503K
2020 369 $79K
2021 3,042 $285K
2022 9,138 $885K
2023 9,770 $988K
2024 7,648 $866K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 32,365 1,545 $4.02M
T1005 Respite care services, up to 15 minutes 602 145 $72K