Medicaid Provider Spending

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

CARE AT HOME, LLC

NPI: 1326558727 · HAYES, VA 23072 · Personal Care Attendant · NPI assigned 10/11/2017

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

91% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$5.00M
Total Medicaid Paid
36,458
Total Claims
2,291
Beneficiaries
3
Codes Billed
2019-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNICKENS, EBONY (MANAGER)
NPI Enumeration Date10/11/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,072 $777K
2020 5,221 $772K
2021 8,913 $1.03M
2022 13,142 $1.21M
2023 6,097 $872K
2024 1,013 $340K

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) 31,316 1,530 $4.53M
T1005 Respite care services, up to 15 minutes 5,090 734 $436K
G2021 Health care practitioners rendering treatment in place (tip) 52 27 $37K