MEDIC HOME CARE, INCORPORATED
NPI: 1063545598
· HARLINGEN, TX 78552
· Home Health Agency
· NPI assigned 03/13/2007
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.
$19.94M
Total Medicaid Paid
Provider Details
| Authorized Official | HADDAD, VISENTA (DIRECTOR OF NURSES, ADMINISTRATOR) |
| NPI Enumeration Date | 03/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,146 |
$673K |
| 2019 |
6,597 |
$676K |
| 2020 |
30,060 |
$1.40M |
| 2021 |
76,467 |
$3.61M |
| 2022 |
86,204 |
$4.38M |
| 2023 |
89,427 |
$4.50M |
| 2024 |
83,558 |
$4.71M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
331,993 |
12,727 |
$18.26M |
| 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) |
24,091 |
885 |
$844K |
| T1005 |
Respite care services, up to 15 minutes |
17,375 |
992 |
$843K |