AMANECER PRIMARY HOME CARE, LLC
NPI: 1013167493
· MISSION, TX 78574
· Early Intervention Provider Agency
· NPI assigned 09/23/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$26.32M
Total Medicaid Paid
Provider Details
| Authorized Official | ALVAREZ, YURIDIA (ADMINISTRATOR) |
| NPI Enumeration Date | 09/23/2008 |
Related Entities
Other providers sharing the same authorized official: ALVAREZ, YURIDIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,281 |
$1.89M |
| 2019 |
8,855 |
$1.81M |
| 2020 |
53,240 |
$2.37M |
| 2021 |
100,484 |
$4.13M |
| 2022 |
120,890 |
$5.54M |
| 2023 |
90,720 |
$4.07M |
| 2024 |
122,231 |
$6.50M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
445,889 |
18,823 |
$24.10M |
| T1005 |
Respite care services, up to 15 minutes |
26,507 |
1,372 |
$1.18M |
| 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) |
35,305 |
1,427 |
$1.04M |