FIESTA PRIMARY HOME CARE, LLC
NPI: 1013443373
· LAREDO, TX 78041
· Developmentally Disabled Services Day Training Agency
· NPI assigned 05/05/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$5.64M
Total Medicaid Paid
Provider Details
| Authorized Official | ZAMBRANO, SAUL (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 05/05/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,954 |
$271K |
| 2021 |
7,702 |
$703K |
| 2022 |
14,238 |
$1.34M |
| 2023 |
16,355 |
$1.46M |
| 2024 |
21,050 |
$1.86M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
54,848 |
3,761 |
$5.39M |
| 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) |
6,451 |
264 |
$246K |