CLAUDIA VALENCIA DBA ALIVIO HOME CARE
NPI: 1124241047
· BROWNSVILLE, TX 78521
· Home Health Agency
· NPI assigned 04/10/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$6.90M
Total Medicaid Paid
Provider Details
| Authorized Official | VALENCIA, CLAUDIA (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 04/10/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
527 |
$290K |
| 2019 |
583 |
$313K |
| 2020 |
9,964 |
$721K |
| 2021 |
27,929 |
$1.56M |
| 2022 |
21,234 |
$1.43M |
| 2023 |
19,769 |
$1.35M |
| 2024 |
16,127 |
$1.23M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
88,180 |
4,591 |
$6.65M |
| 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) |
7,953 |
283 |
$248K |