Forecastle Professional and Home Health Services, LLC

Forecastle Professional and Home Health Services, LLC was paid $1.41M by Medicaid between Apr 2018 and Feb 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 infoFORECASTLE PROFESSIONAL AND HOME HEALTH SERVICES, LLC
WINCHESTER, VA 22601

33aNPI1922473263assigned 12/12/2015

33bProvider typeCase Management Agency

28Total paid$1.41M

24GClaims10,255

24DCodes billed2

24AFirst – last monthApr 2018 – Feb 2023

Compared with peers

Next to other Case Management Agency providers in Virginia

Rank by total paid#34 of 128

Median peer was paid$331K

This provider vs. median4.2×

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	648	$282K
2019	1,718	$376K
2020	4,070	$336K
2021	3,428	$361K
2023	391	$54K

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%	10,033	777	$1.39M
T1005	Respite care services, up to 15 minutes	1.1%	222	40	$15K

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 officialANNAN, RODDY (DIRECTOR)