Verge Primary Home Care
Verge Primary Home Care was paid $42.58M 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 — 91% of everything it billed.
EDINBURG, TX 78539
Next to other Developmentally Disabled Services Day Training Agency providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,249 | $1.67M | |
| 2019 | 17,943 | $1.92M | |
| 2020 | 83,227 | $3.64M | |
| 2021 | 227,470 | $10.34M | |
| 2022 | 180,064 | $9.04M | |
| 2023 | 168,221 | $8.12M | |
| 2024incomplete | 145,235 | $7.86M |
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 | 91% | 721,310 | 27,598 | $38.87M |
| T1005 | Respite care services, up to 15 minutes | 4.7% | 41,594 | 2,273 | $2.00M |
| 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) | 4.0% | 63,505 | 2,375 | $1.70M |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Allstate Hospice LLC | Edinburg, TX | $4.86M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.