Agency
Fiesta Primary Home Care, LLC
Fiesta Primary Home Care, LLC was paid $5.64M by Medicaid between Jan 2020 and Dec 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 96% of everything it billed.
33Billing provider infoFIESTA PRIMARY HOME CARE, LLC
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1013443373assigned 05/05/2017
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$5.64M
24GClaims61,299
24DCodes billed2
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Texas
Rank by total paid#94 of 183
Median peer was paid$6.15M
This provider vs. median0.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration96% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 1,954 | $271K | |
| 2021 | 7,702 | $703K | |
| 2022 | 14,238 | $1.34M | |
| 2023 | 16,355 | $1.46M | |
| 2024incomplete | 21,050 | $1.86M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 96% | 54,848 | 3,761 | $5.39M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 4.4% | 6,451 | 264 | $246K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialZAMBRANO, SAUL (OWNER/ADMINISTRATOR)