Agency
1ST Adult N Pediatric Healthcare Services INC
1ST Adult N Pediatric Healthcare Services INC was paid $31.64M by Medicaid between Jan 2018 and Dec 2023, across 6 billing codes. Its largest line is S9124, Nursing care, in the home; by licensed practical nurse, per hour — 42% of everything it billed.
33Billing provider info1ST ADULT N PEDIATRIC HEALTHCARE SERVICES INC
ALEXANDRIA, VA 22305
ALEXANDRIA, VA 22305
33aNPI1912356098assigned 06/08/2016
33bProvider typeHome Health Agency
28Total paid$31.64M
24GClaims81,328
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Home Health Agency providers in Virginia
Rank by total paid#16 of 678
Median peer was paid$1.59M
This provider vs. median20×
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 | 3,076 | $3.58M | |
| 2019 | 4,709 | $5.30M | |
| 2020 | 15,085 | $8.41M | |
| 2021 | 25,976 | $6.13M | |
| 2022 | 19,087 | $4.61M | |
| 2023 | 13,395 | $3.61M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 42% | 7,520 | 1,647 | $13.40M |
| 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) | 29% | 62,574 | 2,948 | $9.09M |
| T1003 | Lpn/lvn services, up to 15 minutes | 18% | 2,271 | 492 | $5.59M |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 8.9% | 1,660 | 365 | $2.80M |
| T1005 | Respite care services, up to 15 minutes | 1.9% | 7,003 | 574 | $589K |
| S9125 | Respite care, in the home, per diem | <1% | 300 | 72 | $171K |
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 officialGORE, SHEKITA (ADMINISTATOR)