Medicaid Provider Spending

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

AMERICARE PLUS , LLC.

NPI: 1770981326 · WAYNESBOROA, VA 22980 · In Home Supportive Care Agency · NPI assigned 12/15/2014

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

98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official BIRLEY, CATHERINE controls 20+ related entities in our dataset. Read more

$1.47M
Total Medicaid Paid
16,613
Total Claims
1,763
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRLEY, CATHERINE (PRESIDENT)
NPI Enumeration Date12/15/2014

Related Entities

Other providers sharing the same authorized official: BIRLEY, CATHERINE

ProviderCityStateTotal Paid
AMERICARE PLUS, LLC ORANGE VA $6.16M
AMERICARE PLUS , LLC. CLIFTON FORGE VA $5.54M
AMERICARE PLUS , LLC. SMITHFIELD VA $4.89M
AMERICARE PLUS, LLC WARSAW VA $4.35M
AMERICARE PLUS, LLC WARSAW VA $3.29M
AMERICARE PLUS, LLC BEDFORD VA $2.40M
AMERICARE PLUS, LLC SOUTH HILL VA $2.27M
AMERICARE PLUS , LLC. LEXINGTON VA $1.95M
AMERICARE PLUS, LLC GLOUCESTER VA $1.19M
AMERICARE PLUS, LLC WARSAW VA $433K
AMERICARE PLUS, LLC WARSAW VA $396K
AMERICARE PLUS , LLC. NORFOLK VA $313K
AMERICARE PLUS, LLC WARSAW VA $309K
AMERICARE PLUS, LLC WARSAW VA $205K
AMERICARE PLUS, LLC WARSAW VA $128K
AMERICARE PLUS, LLC WARSAW VA $94K
AMERICARE PLUS, LLC WARSAW VA $58K
AMERICARE PLUS, LLC WARSAW VA $27K
AMERICARE PLUS, LLC WARSAW VA $17K
AMERICARE PLUS, LLC WARSAW VA $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,019 $200K
2019 1,472 $273K
2020 3,645 $263K
2021 3,700 $268K
2022 2,969 $196K
2023 2,253 $148K
2024 1,555 $122K

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) 16,365 1,700 $1.44M
G2021 Health care practitioners rendering treatment in place (tip) 17 14 $18K
T1005 Respite care services, up to 15 minutes 231 49 $12K