Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Optimism Home Health Care Services, LLC

Optimism Home Health Care Services, LLC was paid $1.92M by Medicaid between May 2021 and Jun 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 94% of everything it billed.

33Billing provider infoOPTIMISM HOME HEALTH CARE SERVICES, LLC
VIRGINIA BEACH, VA 23455
33aNPI1467075424assigned 05/26/2020
33bProvider typeHome Health Agency
28Total paid$1.92M
24GClaims16,600
24DCodes billed2
24AFirst – last monthMay 2021 – Jun 2024
Compared with peers

Next to other Home Health Agency providers in Virginia

Rank by total paid#324 of 678
Median peer was paid$1.59M
This provider vs. median1.2×

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 Concentration94% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20213,314$341K
20225,927$667K
20235,997$747K
2024incomplete1,362$167K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 94% 14,808 663 $1.81M
T1005 Respite care services, up to 15 minutes 5.9% 1,792 162 $114K

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 officialWEST, JAMES (OWNR)
Same official

Other billing entities under WEST, JAMES

Full network →
ProviderLocationPaid
Ob-Gyn Associates of Baldwin County, P.C.Foley, AL$298K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.