SOUTH TEXAS PERSONAL CARE SERVICE INC.
NPI: 1114121043
· MISSION, TX 78572
· PACE Provider Organization
· NPI assigned 06/13/2007
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.
$38.36M
Total Medicaid Paid
Provider Details
| Authorized Official | MCDONALD, RITA (PRESIDENT) |
| NPI Enumeration Date | 06/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38,324 |
$1.71M |
| 2019 |
47,264 |
$2.19M |
| 2020 |
67,166 |
$3.14M |
| 2021 |
154,055 |
$7.06M |
| 2022 |
161,181 |
$8.06M |
| 2023 |
158,128 |
$7.89M |
| 2024 |
144,741 |
$8.31M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
711,359 |
26,084 |
$36.38M |
| 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) |
33,125 |
1,279 |
$996K |
| T1005 |
Respite care services, up to 15 minutes |
26,375 |
1,442 |
$979K |