GARDENIA PHC SERVICES, LLC.
NPI: 1114425998
· MCALLEN, TX 78501
· Personal Care Attendant
· NPI assigned 01/26/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$2.60M
Total Medicaid Paid
Provider Details
| Authorized Official | MIGUEL, ROSIE (CEO) |
| NPI Enumeration Date | 01/26/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,771 |
$113K |
| 2020 |
19,156 |
$780K |
| 2021 |
38,967 |
$1.71M |
| 2022 |
173 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
60,793 |
2,472 |
$2.59M |
| T1005 |
Respite care services, up to 15 minutes |
274 |
12 |
$10K |