CARE ADVANTAGE PLUS, LLC
NPI: 1215006242
· CHARLOTTESVILLE, VA 22901
· Home Health Agency
· NPI assigned 11/06/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$2.15M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,501 |
$134K |
| 2020 |
3,109 |
$209K |
| 2021 |
3,691 |
$319K |
| 2022 |
3,083 |
$274K |
| 2023 |
6,304 |
$552K |
| 2024 |
7,171 |
$665K |
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) |
22,542 |
1,363 |
$2.00M |
| T1005 |
Respite care services, up to 15 minutes |
2,288 |
211 |
$118K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
29 |
13 |
$32K |