Agency
Calathea, LLC
Calathea, LLC was paid $467K by Medicaid between Jul 2018 and Dec 2024, across 4 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 44% of everything it billed.
33Billing provider infoCALATHEA, LLC
FREDERICKSBURG, VA 22408
FREDERICKSBURG, VA 22408
33aNPI1578913455assigned 06/21/2016
33bProvider typeCase Management Agency
28Total paid$467K
24GClaims8,329
24DCodes billed4
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Virginia
Rank by total paid#56 of 128
Median peer was paid$331K
This provider vs. median1.4×
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.
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 | 314 | $22K | |
| 2019 | 1,005 | $65K | |
| 2020 | 1,411 | $80K | |
| 2021 | 1,061 | $57K | |
| 2022 | 1,288 | $67K | |
| 2023 | 1,614 | $71K | |
| 2024incomplete | 1,636 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99509 | Home visit for assistance with activities of daily living and personal care | 44% | 3,021 | 2,889 | $205K |
| S5116 | Home care training, non-family; per session | 23% | 3,902 | 3,693 | $107K |
| S5109 | Home care training to home care client, per session | 18% | 808 | 741 | $86K |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | 15% | 598 | 582 | $68K |
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 officialFANNIN, RUTHETTE (CASE MANAGER)
Parent organizationCALATHEA, LLC