VERGE PRIMARY HOME CARE
NPI: 1124208368
· EDINBURG, TX 78539
· Developmentally Disabled Services Day Training Agency
· NPI assigned 11/05/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$42.58M
Total Medicaid Paid
Provider Details
| Authorized Official | ARI, ONDER (CEO) |
| NPI Enumeration Date | 11/05/2007 |
Related Entities
Other providers sharing the same authorized official: ARI, ONDER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
145,235 |
$7.86M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
721,310 |
27,598 |
$38.87M |
| T1005 |
Respite care services, up to 15 minutes |
41,594 |
2,273 |
$2.00M |
| 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) |
63,505 |
2,375 |
$1.70M |