PEACEFUL SURROUNDINGS HOME HEALTH CARE LLC
NPI: 1225493224
· FREDERICKSBURG, VA 22408
· Home Health Agency
· NPI assigned 12/18/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$4.44M
Total Medicaid Paid
Provider Details
| Authorized Official | WILLIAMS, SHAVON (ADMINISTRATOR) |
| NPI Enumeration Date | 12/18/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,892 |
$822K |
| 2019 |
2,012 |
$659K |
| 2020 |
3,852 |
$364K |
| 2021 |
3,650 |
$437K |
| 2022 |
2,803 |
$389K |
| 2023 |
5,256 |
$739K |
| 2024 |
6,695 |
$1.03M |
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) |
25,895 |
1,835 |
$4.38M |
| T1005 |
Respite care services, up to 15 minutes |
230 |
64 |
$36K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
35 |
15 |
$23K |