Agency
Defined Home Care LLC
Defined Home Care LLC was paid $1.02M by Medicaid between Sep 2020 and Dec 2024, across 1 billing code. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoDEFINED HOME CARE LLC
WINSTON SALEM, NC 27107
WINSTON SALEM, NC 27107
33aNPI1083251383assigned 12/05/2019
33bProvider typeIn Home Supportive Care Agency
28Total paid$1.02M
24GClaims10,282
24DCodes billed1
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in North Carolina
Rank by total paid#249 of 413
Median peer was paid$1.70M
This provider vs. median0.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,587 | $131K | |
| 2021 | 3,001 | $242K | |
| 2022 | 377 | $46K | |
| 2023 | 2,328 | $246K | |
| 2024incomplete | 2,989 | $354K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 100% | 10,282 | 383 | $1.02M |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHICKMAN, MARIA (OWNER)