Medicaid Provider Spending

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

DOREEN HOME HEALTH CARE LLC

NPI: 1497133870 · NORFOLK, VA 23510 · Home Health Agency · NPI assigned 05/18/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

93% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$10.30M
Total Medicaid Paid
96,490
Total Claims
5,446
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILSON, ELIZABETH (OWNER)
NPI Enumeration Date05/18/2015

Related Entities

Other providers sharing the same authorized official: WILSON, ELIZABETH

ProviderCityStateTotal Paid
EHW COUNSELING & THERAPY LLC MADISON CT $61K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,296 $1.62M
2019 4,758 $1.49M
2020 16,540 $1.39M
2021 23,404 $1.55M
2022 16,878 $1.45M
2023 13,176 $1.14M
2024 17,438 $1.66M

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) 82,296 3,995 $9.53M
T1005 Respite care services, up to 15 minutes 14,122 1,409 $709K
G2021 Health care practitioners rendering treatment in place (tip) 72 42 $61K