Hi-Pointe Care Solutions

Hi-Pointe Care Solutions was paid $14.62M by Medicaid between Jul 2018 and Nov 2024, across 2 billing codes. Its largest line is S9124, Nursing care, in the home; by licensed practical nurse, per hour — 99% of everything it billed.

33Billing provider infoHI-POINTE CARE SOLUTIONS
STERLING, VA 20165

33aNPI1770973323assigned 02/03/2015

33bProvider typeIn Home Supportive Care Agency

28Total paid$14.62M

24GClaims5,830

24DCodes billed2

24AFirst – last monthJul 2018 – Nov 2024

Compared with peers

Next to other In Home Supportive Care Agency providers in Virginia

Rank by total paid#9 of 106

Median peer was paid$2.84M

This provider vs. median5.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code S9124 with only 2 total codes billed. Highly concentrated billing profile.

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	279	$165K
2019	1,099	$2.13M
2020	1,039	$2.11M
2021	1,026	$2.26M
2022	762	$2.18M
2023	867	$3.19M
2024incomplete	758	$2.61M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9124	Nursing care, in the home; by licensed practical nurse, per hour	99%	5,551	1,045	$14.46M
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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)	1.1%	279	49	$165K

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 officialADDAE-NUKU, ELIKEM (EXECUTIVE DIRECTOR)