QUALITY HOMECARE SOLUTIONS, INC.
NPI: 1093085946
· WOODBRIDGE, VA 22192
· Home Health Agency
· NPI assigned 01/10/2012
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.
$6.18M
Total Medicaid Paid
Provider Details
| Authorized Official | HAYFORD, MATILDA (DIRECTOR OF ADMINISTRATION) |
| NPI Enumeration Date | 01/10/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,954 |
$1.08M |
| 2019 |
1,401 |
$655K |
| 2020 |
5,283 |
$672K |
| 2021 |
6,910 |
$1.07M |
| 2022 |
5,883 |
$1.03M |
| 2023 |
5,252 |
$883K |
| 2024 |
4,363 |
$790K |
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) |
29,903 |
1,586 |
$6.04M |
| T1005 |
Respite care services, up to 15 minutes |
1,143 |
273 |
$139K |