Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

TRANSFORMING CARE

NPI: 1962871384 · SUFFOLK, VA 23434 · Home Health Agency · NPI assigned 09/15/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

90% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$3.32M
Total Medicaid Paid
29,201
Total Claims
1,449
Beneficiaries
3
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROOKS, CIERA (ADMINISTRATOR)
NPI Enumeration Date09/15/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,360 $457K
2020 2,827 $340K
2021 6,855 $625K
2022 7,309 $753K
2023 6,186 $588K
2024 4,664 $558K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 24,121 1,115 $2.99M
T1005 Respite care services, up to 15 minutes 5,055 321 $316K
G2021 Health care practitioners rendering treatment in place (tip) 25 13 $13K