Nuestra Esperanza Primary Home Care, LLC

Nuestra Esperanza Primary Home Care, LLC was paid $17.41M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 95% of everything it billed.

33Billing provider infoNUESTRA ESPERANZA PRIMARY HOME CARE, LLC
MISSION, TX 78572

33aNPI1073832697assigned 05/21/2010

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$17.41M

24GClaims344,605

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Texas

Rank by total paid#39 of 183

Median peer was paid$6.15M

This provider vs. median2.8×

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 Concentration95% of spending on code S5125 with only 3 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
2018	2,331	$1.00M
2019	6,702	$1.08M
2020	41,225	$1.76M
2021	86,906	$3.65M
2022	77,623	$3.56M
2023	66,007	$3.06M
2024incomplete	63,811	$3.31M

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	95%	316,132	12,856	$16.53M
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)	3.1%	19,811	718	$544K
T1005	Respite care services, up to 15 minutes	1.9%	8,662	459	$339K

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 officialCENTENO, MONICA (MEMBER)

Same official

Other billing entities under CENTENO, MONICA

Full network →

Provider	Location	Paid
M & G Primary Home Care, INC.	Mission, TX	$26.10M
Bless-Ed Home Care, INC.	Mission, TX	$8.71M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.