Medicaid Provider Spending

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

MATRIXX HEALTHCARE LLC

NPI: 1801387808 · VIRGINIA BCH, VA 23452 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/24/2018

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

92% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$6.38M
Total Medicaid Paid
62,111
Total Claims
2,724
Beneficiaries
3
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOVIL, SHANTEL (CEO)
NPI Enumeration Date05/24/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,410 $588K
2020 6,468 $927K
2021 8,908 $842K
2022 14,899 $1.40M
2023 18,602 $1.61M
2024 11,824 $1.01M

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) 52,471 2,133 $5.85M
T1005 Respite care services, up to 15 minutes 9,596 574 $506K
G2021 Health care practitioners rendering treatment in place (tip) 44 17 $27K