AMIGOS DEL VALLE HOME HEALTH CARE, INC
NPI: 1043677966
· MCALLEN, TX 78501
· Personal Care Attendant
· NPI assigned 01/22/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$1.96M
Total Medicaid Paid
Provider Details
| Authorized Official | MARQUEZ, NUBIA (EXECUTIVE VICE-PRESIDENT) |
| NPI Enumeration Date | 01/22/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37 |
$12K |
| 2019 |
624 |
$130K |
| 2020 |
5,151 |
$218K |
| 2021 |
9,712 |
$380K |
| 2022 |
8,249 |
$406K |
| 2023 |
8,249 |
$413K |
| 2024 |
6,550 |
$401K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
36,287 |
1,485 |
$1.90M |
| 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) |
2,285 |
90 |
$61K |