Medicaid Provider Spending

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

FAMILY FIRST HOME CARE, INC.

NPI: 1265778799 · SUFFOLK, VA 23434 · Case Management Agency · NPI assigned 01/03/2013

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

97% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$1.06M
Total Medicaid Paid
2,474
Total Claims
521
Beneficiaries
2
Codes Billed
2018-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialSMITH, GENA (OWNER)
NPI Enumeration Date01/03/2013

Monthly Spending Trend

Yearly Breakdown

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

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) 2,277 472 $1.03M
T1005 Respite care services, up to 15 minutes 197 49 $28K