RGBGM GROUP,LLC
NPI: 1104137298
· HIDALGO, TX 78557
· Home Health Agency
· NPI assigned 06/23/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$15.49M
Total Medicaid Paid
Provider Details
| Authorized Official | MENDEZ, BLANCA (ADMINISTRATOR) |
| NPI Enumeration Date | 06/23/2010 |
Related Entities
Other providers sharing the same authorized official: MENDEZ, BLANCA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,910 |
$790K |
| 2019 |
4,928 |
$827K |
| 2020 |
32,733 |
$1.52M |
| 2021 |
76,403 |
$3.56M |
| 2022 |
59,138 |
$3.04M |
| 2023 |
57,975 |
$3.02M |
| 2024 |
47,727 |
$2.73M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
263,966 |
10,520 |
$14.79M |
| T1005 |
Respite care services, up to 15 minutes |
15,218 |
873 |
$632K |
| 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) |
2,630 |
109 |
$64K |