Believe in US Primary Home Care, INC

Believe in US Primary Home Care, INC was paid $30.31M 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 infoBELIEVE IN US PRIMARY HOME CARE, INC
SAN BENITO, TX 78586

33aNPI1114041282assigned 03/16/2007

33bProvider typeHome Health Agency

28Total paid$30.31M

24GClaims588,432

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#69 of 1,243

Median peer was paid$1.86M

This provider vs. median16×

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	14,467	$1.32M
2019	30,536	$1.38M
2020	57,820	$2.64M
2021	126,631	$5.98M
2022	123,452	$6.29M
2023	120,032	$6.00M
2024incomplete	115,494	$6.69M

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%	546,525	20,456	$28.72M
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)	3.0%	28,916	1,104	$907K
T1005	Respite care services, up to 15 minutes	2.3%	12,991	671	$684K

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 officialVALDEZ, REBECCA (ADMINISTRATOR)