Gaffney Community Care
Gaffney Community Care was paid $3.75M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 97% of everything it billed.
33Billing provider infoGAFFNEY COMMUNITY CARE
VIRGINIA BEACH, VA 23462
VIRGINIA BEACH, VA 23462
33aNPI1457596777assigned 12/16/2008
33bProvider typePersonal Care Attendant
28Total paid$3.75M
24GClaims19,847
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Personal Care Attendant providers in Virginia
Rank by total paid#8 of 26
Median peer was paid$909K
This provider vs. median4.1×
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 Concentration97% of spending on code T1019 with only 3 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 | 938 | $704K | |
| 2019 | 947 | $701K | |
| 2020 | 1,581 | $453K | |
| 2021 | 5,077 | $523K | |
| 2022 | 5,220 | $585K | |
| 2023 | 1,081 | $129K | |
| 2024incomplete | 5,003 | $651K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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) | 97% | 19,624 | 1,362 | $3.63M |
| T1005 | Respite care services, up to 15 minutes | 2.8% | 208 | 128 | $103K |
| G2021 | Health care practitioners rendering treatment in place (tip) | <1% | 15 | 15 | $12K |
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 officialGAFFNEY, LORRI (EXECUTIVE DIRECTOR)