OPTIMISM HOME HEALTH CARE SERVICES, LLC
NPI: 1467075424
· VIRGINIA BEACH, VA 23455
· Home Health Agency
· NPI assigned 05/26/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.92M
Total Medicaid Paid
Provider Details
| Authorized Official | WEST, JAMES (OWNR) |
| NPI Enumeration Date | 05/26/2020 |
Related Entities
Other providers sharing the same authorized official: WEST, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,314 |
$341K |
| 2022 |
5,927 |
$667K |
| 2023 |
5,997 |
$747K |
| 2024 |
1,362 |
$167K |
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) |
14,808 |
663 |
$1.81M |
| T1005 |
Respite care services, up to 15 minutes |
1,792 |
162 |
$114K |