SOUTHERN MADE HOME CARE, LLC
NPI: 1467927228
· WOODBRIDGE, VA 22192
· Home Health Agency
· NPI assigned 10/09/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$3.09M
Total Medicaid Paid
Provider Details
| Authorized Official | GAINES, SHAMIRA (ADMINISTRATIVE DIRECTOR) |
| NPI Enumeration Date | 10/09/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
888 |
$280K |
| 2020 |
2,141 |
$391K |
| 2021 |
2,854 |
$240K |
| 2022 |
5,136 |
$466K |
| 2023 |
7,418 |
$807K |
| 2024 |
6,839 |
$904K |
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) |
23,131 |
1,098 |
$2.92M |
| T1005 |
Respite care services, up to 15 minutes |
2,145 |
188 |
$168K |