Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BG HEALTHCARE SERVICES INC

NPI: 1487720116 · FALLS CHURCH, VA 22046 · Home Health Agency · NPI assigned 11/27/2006

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.

$10.98M
Total Medicaid Paid
54,597
Total Claims
4,102
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDELE, BENJAMIN (ADMINISTRATOR)
NPI Enumeration Date11/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,626 $2.66M
2019 3,229 $2.06M
2020 18,651 $1.70M
2021 9,653 $1.28M
2022 7,469 $1.13M
2023 7,334 $1.12M
2024 5,635 $1.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 49,825 3,185 $10.35M
T1005 Respite care services, up to 15 minutes 4,772 917 $629K