HEART HARMONY HOME HEALTH AND SERVICES
NPI: 1407329543
· PORTSMOUTH, VA 23707
· Home Health Agency
· NPI assigned 01/10/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$2.10M
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, FRANCES (ADMINSTRATOR) |
| NPI Enumeration Date | 01/10/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
4,644 |
$476K |
| 2022 |
5,151 |
$612K |
| 2023 |
5,000 |
$564K |
| 2024 |
3,957 |
$449K |
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) |
17,404 |
908 |
$1.95M |
| T1005 |
Respite care services, up to 15 minutes |
1,327 |
157 |
$132K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
21 |
14 |
$18K |