Agency
Sandgala, LLC
Sandgala, LLC was paid $1.69M by Medicaid between Jan 2018 and Sep 2024, across 2 billing codes. Its largest line is T2030, Assisted living, waiver; per month — 98% of everything it billed.
33Billing provider infoSANDGALA, LLC
KINGSPORT, TN 37660
KINGSPORT, TN 37660
33aNPI1437589033assigned 11/18/2013
33bProvider typeHome Health Agency
28Total paid$1.69M
24GClaims2,254
24DCodes billed2
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Home Health Agency providers in Tennessee
Rank by total paid#36 of 100
Median peer was paid$682K
This provider vs. median2.5×
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.
Single-Code Concentration98% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 862 | $240K | |
| 2019 | 232 | $185K | |
| 2020 | 195 | $202K | |
| 2021 | 212 | $216K | |
| 2022 | 266 | $326K | |
| 2023 | 332 | $348K | |
| 2024incomplete | 155 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 98% | 1,632 | 1,380 | $1.66M |
| 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) | 1.7% | 622 | 26 | $29K |
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 officialBELLANDE, KATHY (MGMT COMPANY REPRESENTATIVE)