SULTANI SERENITY HOME HEALTH CARE AGENCY, LLC
NPI: 1194262188
· SPRINGFIELD, VA 22150
· Home Health Agency
· NPI assigned 01/27/2017
$11.45M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,076 |
$665K |
| 2019 |
2,571 |
$1.53M |
| 2020 |
8,558 |
$1.79M |
| 2021 |
15,492 |
$2.04M |
| 2022 |
14,584 |
$2.06M |
| 2023 |
12,633 |
$1.84M |
| 2024 |
9,071 |
$1.53M |
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) |
50,041 |
2,295 |
$9.89M |
| T1005 |
Respite care services, up to 15 minutes |
13,900 |
1,337 |
$1.52M |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
44 |
31 |
$41K |