PRESTIGE HOME HEALTH CARE AGENCY AND SERVICES LLC
NPI: 1508316597
· NEWPORT NEWS, VA 23605
· Home Health Agency
· NPI assigned 10/13/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$5.44M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,705 |
$632K |
| 2019 |
2,650 |
$841K |
| 2020 |
6,603 |
$685K |
| 2021 |
9,056 |
$786K |
| 2022 |
9,777 |
$1.08M |
| 2023 |
7,449 |
$889K |
| 2024 |
3,717 |
$522K |
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) |
36,256 |
2,147 |
$4.92M |
| T1005 |
Respite care services, up to 15 minutes |
4,672 |
820 |
$483K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
29 |
19 |
$31K |