VL HOME HEALTH CARE, LLC
NPI: 1093182560
· FALLS CHURCH, VA 22046
· Home Health Agency
· NPI assigned 08/31/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$7.88M
Total Medicaid Paid
Provider Details
| Authorized Official | LOPEZ, VARDYNG (DIRECTOR) |
| NPI Enumeration Date | 08/31/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,761 |
$2.14M |
| 2019 |
2,406 |
$1.47M |
| 2020 |
3,136 |
$769K |
| 2021 |
8,143 |
$683K |
| 2022 |
10,919 |
$1.00M |
| 2023 |
7,164 |
$1.08M |
| 2024 |
4,434 |
$727K |
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) |
32,925 |
1,891 |
$7.15M |
| T1005 |
Respite care services, up to 15 minutes |
6,038 |
1,017 |
$725K |