ADVANTAGE HOME HEALTH CARE INC
NPI: 1699978130
· STERLING, VA 20164
· Home Health Agency
· NPI assigned 06/11/2007
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.
$5.94M
Total Medicaid Paid
Provider Details
| Authorized Official | SABRIE, LAIMON (VICE PRESIDENT/ADMINISTRATOR) |
| NPI Enumeration Date | 06/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,984 |
$937K |
| 2019 |
2,311 |
$1.03M |
| 2020 |
5,429 |
$958K |
| 2021 |
9,976 |
$948K |
| 2022 |
6,504 |
$817K |
| 2023 |
4,165 |
$568K |
| 2024 |
4,497 |
$683K |
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) |
29,599 |
1,604 |
$5.57M |
| T1005 |
Respite care services, up to 15 minutes |
5,213 |
615 |
$346K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
54 |
18 |
$21K |