Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Addus Healthcare, INC.

Addus Healthcare, INC. was paid $9.94M by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 90% of everything it billed.

33Billing provider infoADDUS HEALTHCARE, INC.
FREDERICKSBURG, VA 22405
33aNPI1386016244assigned 10/30/2015
33bProvider typeCommunity Health Worker
28Total paid$9.94M
24GClaims94,414
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Community Health Worker providers in Virginia

Rank by total paid#2 of 7
Median peer was paid$1.26M
This provider vs. median7.9×

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.

Entity ProliferationAuthorized official ANDERSON, DARBY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201812,261$1.16M
201911,508$1.10M
202014,788$1.07M
202114,651$1.34M
202214,772$1.87M
202317,089$2.12M
2024incomplete9,345$1.29M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 90% 82,482 4,021 $8.89M
T1005 Respite care services, up to 15 minutes 10% 11,573 1,772 $1.02M
99509 Home visit for assistance with activities of daily living and personal care <1% 300 261 $18K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs <1% 59 39 $4K

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 officialANDERSON, DARBY (EVP, CHIEF STRATEGY OFFICER)
Parent organizationADDUS HOMECARE CORPORATION
Same official

Other billing entities under ANDERSON, DARBY

Full network →
ProviderLocationPaid
Girling Health Care, INC.Austin, TX$858.20M
South Shore Home Health Service, INC.Ronkonkoma, NY$356.44M
Cura Partners, LLCJohnson City, TN$49.26M
A Plus Health Care INCKalispell, MT$28.19M
Addus Healthcare (South Carolina), INC.Wintersville, OH$25.57M
Addus Healthcare, INC.Detroit, MI$18.48M
Addus Health Care INCRolla, MO$15.75M
Addus Health Care INCBrinkley, AR$13.06M
Addus Healthcare (South Carolina), INC.Columbia, SC$12.17M
Addus Healthcare, INC.Santa Fe, NM$10.55M
Priority Home Health Care, INCMiddleburg Heights, OH$9.15M
Prac Holdings, INC.Phoenix, AZ$8.92M
County Homemakers INCDu Bois, PA$8.58M
South Shore Home Health Service, INC.Ronkonkoma, NY$7.80M
Addus Healthcare (South Carolina), INC.North Wilkesboro, NC$7.19M
Addus Health Care INCRolla, MO$6.63M
Addus Healthcare, INC.Meridian, ID$6.15M
Prac Holdings, INC.Marquette, MI$5.97M
Addus Healthcare (South Carolina), INC.Sumter, SC$5.49M
Addus Healthcare (South Carolina), INC.Greenville, SC$4.49M

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