Medicaid Provider Spending

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

5 STARS HOME CARE LLC

NPI: 1366916207 · ALEXANDRIA, VA 22304 · In Home Supportive Care Agency · NPI assigned 01/14/2019

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.

$4.27M
Total Medicaid Paid
25,855
Total Claims
1,077
Beneficiaries
2
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBEFEKADU, SILMA (OWNER)
NPI Enumeration Date01/14/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 127 $73K
2021 2,759 $418K
2022 6,185 $942K
2023 9,450 $1.45M
2024 7,334 $1.38M

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) 23,797 967 $4.12M
T1005 Respite care services, up to 15 minutes 2,058 110 $147K