Silver Care, LLC

Silver Care, LLC was paid $1.50M by Medicaid between Oct 2018 and Aug 2022, across 3 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 infoSILVER CARE, LLC
NORFOLK, VA 23513

33aNPI1265942189assigned 10/05/2017

33bProvider typeHome Health Agency

28Total paid$1.50M

24GClaims12,614

24DCodes billed3

24AFirst – last monthOct 2018 – Aug 2022

Compared with peers

Next to other Home Health Agency providers in Virginia

Rank by total paid#349 of 678

Median peer was paid$1.59M

This provider vs. median0.9×

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 3 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	206	$85K
2019	2,204	$521K
2020	4,609	$396K
2021	4,074	$357K
2022	1,521	$143K

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%	12,355	877	$1.46M
T1005	Respite care services, up to 15 minutes	1.6%	240	81	$24K
G2021	Health care practitioners rendering treatment in place (tip)	1.4%	19	14	$21K

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 officialJONES, ERICA (CO-OWNER/DIRECTOR OF ADMINISTRATION)

Same official

Other billing entities under JONES, ERICA

Full network →

Provider	Location	Paid
Groundworks Pediatric Therapy LLC	Evansville, IN	$222K
High Pointe South Mental Health	Columbia, MD	$188K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.