ESTRELLA PROVIDER SERVICES, LLC
NPI: 1003196270
· LAREDO, TX 78041
· Personal Care Attendant
· NPI assigned 08/19/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$58.41M
Total Medicaid Paid
Provider Details
| Authorized Official | RODRIGUEZ, RAMIRO (ALTERNATE ADMINISTRATOR) |
| NPI Enumeration Date | 08/19/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,993 |
$1.99M |
| 2019 |
29,459 |
$3.08M |
| 2020 |
118,925 |
$5.87M |
| 2021 |
230,064 |
$10.77M |
| 2022 |
222,212 |
$11.75M |
| 2023 |
221,174 |
$11.56M |
| 2024 |
225,781 |
$13.41M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
993,529 |
41,713 |
$55.80M |
| 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) |
43,849 |
1,708 |
$1.36M |
| T1005 |
Respite care services, up to 15 minutes |
27,230 |
1,361 |
$1.26M |