PROGRESSIVE HEALTHCARE SERVICES, LLC
NPI: 1790956688
· NEWPORT NEWS, VA 23605
· Home Health Agency
· NPI assigned 03/18/2008
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.
$2.31M
Total Medicaid Paid
Provider Details
| Authorized Official | FROST, GWEN (ADMINISTRATOR) |
| NPI Enumeration Date | 03/18/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
962 |
$418K |
| 2019 |
1,377 |
$508K |
| 2020 |
10,215 |
$928K |
| 2021 |
10,877 |
$456K |
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) |
20,884 |
1,013 |
$2.18M |
| T1005 |
Respite care services, up to 15 minutes |
2,525 |
260 |
$124K |
| G2021 |
Health care practitioners rendering treatment in place (tip) |
22 |
15 |
$10K |