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

Five Points Healthcare of Virginia

Five Points Healthcare of Virginia was paid $97K by Medicaid between Jan 2018 and Jul 2019, across 5 billing codes. Its largest line is G0151, Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes — 50% of everything it billed.

33Billing provider infoFIVE POINTS HEALTHCARE OF VIRGINIA
WINCHESTER, VA 22602
33aNPI1508285743assigned 04/15/2014
33bProvider typeHome Health Agency
28Total paid$97K
24GClaims3,301
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers

Next to other Home Health Agency providers in Virginia

Rank by total paid#564 of 678
Median peer was paid$1.59M
This provider vs. median0.1×

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.

Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
20182,655$72K
2019646$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 50% 1,360 386 $49K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 43% 1,378 372 $42K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 5.4% 169 50 $5K
G0157 Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes <1% 313 68 $789.46
Q5001 Hospice or home health care provided in patient's home/residence 0% 81 70 $0.00

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 officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

Full network →

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