NUESTRA ESPERANZA PRIMARY HOME CARE, LLC
NPI: 1073832697
· MISSION, TX 78572
· Developmentally Disabled Services Day Training Agency
· NPI assigned 05/21/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$17.41M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CENTENO, MONICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
63,811 |
$3.31M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
316,132 |
12,856 |
$16.53M |
| 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) |
19,811 |
718 |
$544K |
| T1005 |
Respite care services, up to 15 minutes |
8,662 |
459 |
$339K |