Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

D.W. FAMILY HOME CARE INCORPORATED

NPI: 1649820275 · FRANKLIN, VA 23851 · In Home Supportive Care Agency · NPI assigned 09/16/2019

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

95% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$1.46M
Total Medicaid Paid
14,141
Total Claims
547
Beneficiaries
2
Codes Billed
2021-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialWIGGINS, JEAN (OWNER/PRESIDENT/ADMINISTRATOR)
NPI Enumeration Date09/16/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 6,439 $608K
2022 4,895 $555K
2023 2,807 $295K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 12,710 445 $1.39M
T1005 Respite care services, up to 15 minutes 1,431 102 $68K