Marion County Senior Citizens

Marion County Senior Citizens was paid $1.38M by Medicaid between Jan 2018 and Jul 2023, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoMARION COUNTY SENIOR CITIZENS
FAIRMONT, WV 26554

33aNPI1861600876assigned 05/21/2007

33bProvider typeHome Health Agency

28Total paid$1.38M

24GClaims3,586

24DCodes billed2

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Home Health Agency providers in West Virginia

Rank by total paid#37 of 75

Median peer was paid$1.10M

This provider vs. median1.2×

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 T1019 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	583	$435K
2019	446	$364K
2020	426	$332K
2021	1,884	$216K
2022	211	$30K
2023	36	$470.52

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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)	99%	2,710	880	$1.37M
T1002	Rn services, up to 15 minutes	<1%	876	862	$10K

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 officialWEBB, JONE (EXECUTIVE DIRECTOR)