QUALITY CARE HEALTH SERVICES,LLC
NPI: 1376085589
· CHESAPEAKE, VA 23320
· Home Health Agency
· NPI assigned 11/06/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$3.54M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
164 |
$102K |
| 2019 |
1,029 |
$544K |
| 2020 |
4,094 |
$475K |
| 2021 |
4,240 |
$558K |
| 2022 |
3,602 |
$481K |
| 2023 |
4,491 |
$643K |
| 2024 |
4,976 |
$734K |
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) |
21,062 |
1,173 |
$3.33M |
| T1005 |
Respite care services, up to 15 minutes |
1,490 |
191 |
$170K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
44 |
15 |
$32K |