Adams, Lou
Adams, Lou was paid $78K by Medicaid between Jan 2018 and Jun 2024, across 3 billing codes. Its largest line is 99509, Home visit for assistance with activities of daily living and personal care — 85% of everything it billed.
33Billing provider infoADAMS, LOU
MARTINSVILLE, VA 24112
MARTINSVILLE, VA 24112
33aNPI1861938029assigned 01/12/2017
33bProvider typeCase Manager/Care Coordinator
28Total paid$78K
24GClaims1,352
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in Virginia
Rank by total paid#23 of 51
Median peer was paid$66K
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.
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 | 243 | $14K | |
| 2019 | 291 | $14K | |
| 2020 | 149 | $9K | |
| 2021 | 191 | $12K | |
| 2022 | 190 | $12K | |
| 2023 | 183 | $11K | |
| 2024incomplete | 105 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99509 | Home visit for assistance with activities of daily living and personal care | 85% | 1,156 | 1,132 | $66K |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | 14% | 123 | 119 | $11K |
| S5116 | Home care training, non-family; per session | <1% | 73 | 24 | $534.72 |
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.