Medicaid Provider Spending

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

LEX HOME HEALTH CARE LLC

NPI: 1063902039 · FALLS CHURCH, VA 22043 · Home Health Agency · NPI assigned 05/15/2018

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

93% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$2.07M
Total Medicaid Paid
13,103
Total Claims
483
Beneficiaries
2
Codes Billed
2023-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOSH, LEYLA (ADMINISTRATOR)
NPI Enumeration Date05/15/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 3,498 $576K
2024 9,605 $1.49M

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) 11,148 368 $1.92M
T1005 Respite care services, up to 15 minutes 1,955 115 $148K