Johnson, Sharon

Johnson, Sharon was paid $51K by Medicaid between Feb 2018 and Mar 2021, across 2 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 98% of everything it billed.

33Billing provider infoJOHNSON, SHARON
CHESTER, VA 23831

33aNPI1326436502assigned 12/22/2014

33bProvider typeCase Manager/Care Coordinator

28Total paid$51K

24GClaims1,022

24DCodes billed2

24AFirst – last monthFeb 2018 – Mar 2021

Compared with peers

Next to other Case Manager/Care Coordinator providers in Virginia

Rank by total paid#30 of 51

Median peer was paid$66K

This provider vs. median0.8×

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.

OIG exclusionListed on the federal exclusion list (03/20/2024).

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	293	$13K
2019	323	$17K
2020	316	$16K
2021	90	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99509	Home visit for assistance with activities of daily living and personal care	98%	969	932	$50K
S5116	Home care training, non-family; per session	2.3%	53	52	$1K

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.