SILVER CARE, LLC
NPI: 1265942189
· NORFOLK, VA 23513
· Home Health Agency
· NPI assigned 10/05/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$1.50M
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, ERICA (CO-OWNER/DIRECTOR OF ADMINISTRATION) |
| NPI Enumeration Date | 10/05/2017 |
Related Entities
Other providers sharing the same authorized official: JONES, ERICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
206 |
$85K |
| 2019 |
2,204 |
$521K |
| 2020 |
4,609 |
$396K |
| 2021 |
4,074 |
$357K |
| 2022 |
1,521 |
$143K |
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) |
12,355 |
877 |
$1.46M |
| T1005 |
Respite care services, up to 15 minutes |
240 |
81 |
$24K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
19 |
14 |
$21K |