FAIRFAX HOME HEALTH CARE, LLC
NPI: 1063767523
· HERNDON, VA 20170
· Home Health Agency
· NPI assigned 07/19/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$7.54M
Total Medicaid Paid
Provider Details
| Authorized Official | REYES, ROXANA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/19/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,114 |
$1.01M |
| 2019 |
1,273 |
$830K |
| 2020 |
3,974 |
$942K |
| 2021 |
7,510 |
$1.18M |
| 2022 |
6,833 |
$1.19M |
| 2023 |
6,072 |
$953K |
| 2024 |
8,503 |
$1.43M |
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) |
33,545 |
2,068 |
$7.24M |
| T1005 |
Respite care services, up to 15 minutes |
1,713 |
346 |
$279K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
21 |
12 |
$19K |