GRACE PROVIDERS HOME HEALTH CARE INC.
NPI: 1598167652
· CHANTILLY, VA 20151
· Home Health Agency
· NPI assigned 09/20/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$7.53M
Total Medicaid Paid
Provider Details
| Authorized Official | MAINGUY, DAVID (ADMINISTRATOR) |
| NPI Enumeration Date | 09/20/2014 |
Related Entities
Other providers sharing the same authorized official: MAINGUY, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,196 |
$1.32M |
| 2019 |
3,621 |
$1.10M |
| 2020 |
6,516 |
$1.17M |
| 2021 |
9,444 |
$1.19M |
| 2022 |
7,078 |
$961K |
| 2023 |
6,618 |
$953K |
| 2024 |
5,158 |
$830K |
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) |
39,452 |
2,755 |
$7.09M |
| T1005 |
Respite care services, up to 15 minutes |
3,156 |
697 |
$413K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
23 |
16 |
$23K |