Family First Home Care, INC.

Family First Home Care, INC. was paid $1.06M by Medicaid between Jan 2018 and Jul 2020, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 97% of everything it billed.

33Billing provider infoFAMILY FIRST HOME CARE, INC.
SUFFOLK, VA 23434

33aNPI1265778799assigned 01/03/2013

33bProvider typeCase Management Agency

28Total paid$1.06M

24GClaims2,474

24DCodes billed2

24AFirst – last monthJan 2018 – Jul 2020

Compared with peers

Next to other Case Management Agency providers in Virginia

Rank by total paid#40 of 128

Median peer was paid$331K

This provider vs. median3.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,167	$518K
2019	998	$412K
2020	309	$130K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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)	97%	2,277	472	$1.03M
T1005	Respite care services, up to 15 minutes	2.6%	197	49	$28K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSMITH, GENA (OWNER)