Foucha, James
Foucha, James was paid $3.39M by Medicaid between Jan 2018 and Oct 2022, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoFOUCHA, JAMES
NEW ORLEANS, LA 70116
NEW ORLEANS, LA 70116
33aNPI1568767861assigned 01/18/2011
33bProvider typeCommunity Health Worker
28Total paid$3.39M
24GClaims54,567
24DCodes billed2
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Community Health Worker providers in Louisiana
Rank by total paid#2 of 6
Median peer was paid$675K
This provider vs. median5.0×
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.
Single-Code Concentration100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,433 | $629K | |
| 2019 | 13,249 | $592K | |
| 2020 | 10,680 | $751K | |
| 2021 | 9,543 | $714K | |
| 2022 | 7,662 | $704K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 100% | 53,925 | 2,500 | $3.38M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | <1% | 642 | 24 | $10K |
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.