QUALITY KARE HEALTH CARE SERVICES LLC
NPI: 1639553027
· NORFOLK, VA 23518
· Home Health Agency
· NPI assigned 07/15/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.75M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,150 |
$698K |
| 2019 |
1,363 |
$399K |
| 2020 |
4,133 |
$442K |
| 2021 |
2,173 |
$214K |
Billing Codes
| Code | Description | Claims | Bene. Records | 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) |
9,729 |
743 |
$1.74M |
| T1005 |
Respite care services, up to 15 minutes |
90 |
33 |
$11K |