Medicaid Provider Spending

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

PRIMA HOME HEALTH, INC

NPI: 1164545240 · CHANTILLY, VA 20151 · Home Health Agency · NPI assigned 04/06/2007

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

91% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$14.50M
Total Medicaid Paid
86,330
Total Claims
5,587
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialABDI, OMAR (ADMINISTRATOR)
NPI Enumeration Date04/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 979 $1.88M
2019 2,934 $1.69M
2020 14,591 $1.91M
2021 18,723 $2.32M
2022 16,109 $2.22M
2023 17,281 $2.33M
2024 15,713 $2.16M

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) 74,030 3,938 $13.26M
T1005 Respite care services, up to 15 minutes 12,223 1,611 $1.18M
G2021 Health care practitioners rendering treatment in place (tip) 77 38 $63K