ALLEGIANCE HOME CARE SERVICES, INC
NPI: 1427311208
· NEWPORT NEWS, VA 23606
· Nursing Care Agency
· NPI assigned 06/18/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$2.44M
Total Medicaid Paid
Provider Details
| Authorized Official | EVERETT, SHEILA (ADMINISTRATOR) |
| NPI Enumeration Date | 06/18/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,260 |
$493K |
| 2019 |
1,437 |
$401K |
| 2020 |
2,571 |
$314K |
| 2021 |
2,552 |
$213K |
| 2022 |
6,889 |
$563K |
| 2023 |
6,031 |
$455K |
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) |
20,703 |
1,098 |
$2.43M |
| T1005 |
Respite care services, up to 15 minutes |
37 |
12 |
$6K |