D.C. HOME HEALTH HOLDINGS LLC
NPI: 1225533086
· WASHINGTON, DC 20024
· Home Health Agency
· NPI assigned 03/26/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$69.47M
Total Medicaid Paid
Provider Details
| Authorized Official | SHEMIA, SIMON (MANAGING MEMBER) |
| NPI Enumeration Date | 03/26/2018 |
Related Entities
Other providers sharing the same authorized official: SHEMIA, SIMON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48,410 |
$5.05M |
| 2019 |
97,349 |
$11.34M |
| 2020 |
87,276 |
$11.61M |
| 2021 |
62,831 |
$9.68M |
| 2022 |
75,917 |
$9.86M |
| 2023 |
63,872 |
$11.04M |
| 2024 |
57,333 |
$10.90M |
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) |
478,615 |
16,040 |
$68.01M |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
13,405 |
11,521 |
$1.46M |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
968 |
892 |
$0.00 |