BELIEVE IN US PRIMARY HOME CARE, INC
NPI: 1114041282
· SAN BENITO, TX 78586
· Home Health Agency
· NPI assigned 03/16/2007
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.
$30.31M
Total Medicaid Paid
Provider Details
| Authorized Official | VALDEZ, REBECCA (ADMINISTRATOR) |
| NPI Enumeration Date | 03/16/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
115,494 |
$6.69M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
546,525 |
20,456 |
$28.72M |
| 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) |
28,916 |
1,104 |
$907K |
| T1005 |
Respite care services, up to 15 minutes |
12,991 |
671 |
$684K |