FORECASTLE PROFESSIONAL AND HOME HEALTH SERVICES, LLC
NPI: 1922473263
· WINCHESTER, VA 22601
· Case Management Agency
· NPI assigned 12/12/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.41M
Total Medicaid Paid
Provider Details
| Authorized Official | ANNAN, RODDY (DIRECTOR) |
| NPI Enumeration Date | 12/12/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
648 |
$282K |
| 2019 |
1,718 |
$376K |
| 2020 |
4,070 |
$336K |
| 2021 |
3,428 |
$361K |
| 2023 |
391 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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) |
10,033 |
777 |
$1.39M |
| T1005 |
Respite care services, up to 15 minutes |
222 |
40 |
$15K |