Medicaid Provider Spending

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

COURTESY HEALTHCARE SERVICES

NPI: 1982047353 · ALEXANDRIA, VA 22309 · Home Health Agency · NPI assigned 04/16/2013

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

92% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$9.54M
Total Medicaid Paid
60,329
Total Claims
3,315
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMBAMBA, SYLVIE (DIRECTOR OF ADMINISTRATION)
NPI Enumeration Date04/16/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,138 $1.29M
2019 2,813 $1.31M
2020 15,019 $1.58M
2021 14,348 $1.60M
2022 11,406 $1.49M
2023 7,368 $1.12M
2024 7,237 $1.15M

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) 53,481 2,372 $8.81M
T1005 Respite care services, up to 15 minutes 6,807 921 $701K
G2021 Health care practitioners rendering treatment in place (tip) 41 22 $30K