Medicaid Provider Spending

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

BY GRACE HOME HEALTHCARE LLC

NPI: 1235592502 · SUFFOLK, VA 23434 · Home Health Agency · NPI assigned 04/03/2016

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

94% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$2.67M
Total Medicaid Paid
12,888
Total Claims
1,332
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSEBRON, ARBREHET (ADMINISTRATOR)
NPI Enumeration Date04/03/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,738 $865K
2019 1,735 $628K
2020 2,751 $570K
2021 4,664 $476K
2022 759 $93K
2023 241 $34K

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) 11,461 1,025 $2.50M
T1005 Respite care services, up to 15 minutes 1,412 293 $158K
G2021 Health care practitioners rendering treatment in place (tip) 15 14 $7K