Simply Care, LLC
Simply Care, LLC was paid $49K by Medicaid between Jan 2018 and Aug 2020, across 3 billing codes. Its largest line is T1028, Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs — 44% of everything it billed.
33Billing provider infoSIMPLY CARE, LLC
STANARDSVILLE, VA 22973
STANARDSVILLE, VA 22973
33aNPI1952781338assigned 06/01/2015
33bProvider typeCase Manager/Care Coordinator
28Total paid$49K
24GClaims1,230
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Case Manager/Care Coordinator providers in Virginia
Rank by total paid#32 of 51
Median peer was paid$66K
This provider vs. median0.7×
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 | 387 | $14K | |
| 2019 | 748 | $31K | |
| 2020 | 95 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs | 44% | 272 | 262 | $22K |
| S5116 | Home care training, non-family; per session | 28% | 699 | 669 | $14K |
| 99509 | Home visit for assistance with activities of daily living and personal care | 27% | 259 | 252 | $13K |
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 officialLAMB, PAMELA (SOLE MEMBER MANAGER)