PEMA HEALTHCARE SERVICES, INC
NPI: 1003245705
· HOUSTON, TX 77036
· Home Health Agency
· NPI assigned 11/04/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$64.17M
Total Medicaid Paid
Provider Details
| Authorized Official | ISHOLA, PETER (ADMINISTRATOR) |
| NPI Enumeration Date | 11/04/2013 |
Related Entities
Other providers sharing the same authorized official: ISHOLA, PETER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,610 |
$4.52M |
| 2019 |
19,656 |
$4.83M |
| 2020 |
125,264 |
$6.36M |
| 2021 |
231,102 |
$11.74M |
| 2022 |
231,768 |
$12.56M |
| 2023 |
216,001 |
$12.11M |
| 2024 |
201,021 |
$12.05M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
1,007,060 |
44,338 |
$62.97M |
| T1005 |
Respite care services, up to 15 minutes |
23,671 |
1,255 |
$999K |
| 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) |
5,691 |
224 |
$198K |