ALLEGHANY HIGHLANDS HOME CARE LLC
NPI: 1558607689
· COVINGTON, VA 24426
· In Home Supportive Care Agency
· NPI assigned 12/18/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$2.87M
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, GLORIA (OWNER / ADMINISTRATIVE DIRECTOR) |
| NPI Enumeration Date | 12/18/2012 |
Related Entities
Other providers sharing the same authorized official: JONES, GLORIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,061 |
$391K |
| 2019 |
3,091 |
$433K |
| 2020 |
7,738 |
$431K |
| 2021 |
7,594 |
$454K |
| 2022 |
7,279 |
$463K |
| 2023 |
3,461 |
$292K |
| 2024 |
4,482 |
$410K |
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) |
33,875 |
2,024 |
$2.81M |
| T1005 |
Respite care services, up to 15 minutes |
791 |
168 |
$40K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
40 |
12 |
$22K |