STAY HEALTHY HOMECARE , INC.
NPI: 1104936368
· SAN BENITO, TX 78586
· Case Management Agency
· NPI assigned 08/30/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$7.91M
Total Medicaid Paid
Provider Details
| Authorized Official | HERNANDEZ, SABRINA (PRESIDENT, CEO) |
| NPI Enumeration Date | 08/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
832 |
$226K |
| 2019 |
1,729 |
$307K |
| 2020 |
15,119 |
$665K |
| 2021 |
34,196 |
$1.62M |
| 2022 |
32,044 |
$1.64M |
| 2023 |
29,589 |
$1.55M |
| 2024 |
31,425 |
$1.91M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
140,602 |
5,694 |
$7.75M |
| 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) |
3,681 |
147 |
$118K |
| T1005 |
Respite care services, up to 15 minutes |
651 |
49 |
$35K |