Familia Primary Home Care, INC.

Familia Primary Home Care, INC. was paid $7.69M by Medicaid between Feb 2020 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 98% of everything it billed.

33Billing provider infoFAMILIA PRIMARY HOME CARE, INC.
MISSION, TX 78572

33aNPI1134496698assigned 11/28/2011

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$7.69M

24GClaims153,966

24DCodes billed3

24AFirst – last monthFeb 2020 – Dec 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Texas

Rank by total paid#82 of 183

Median peer was paid$6.15M

This provider vs. median1.3×

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.

Single-Code Concentration98% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	7,141	$273K
2021	26,368	$1.14M
2022	35,921	$1.77M
2023	45,466	$2.33M
2024incomplete	39,070	$2.18M

Box 24 · Service lines

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	98%	149,959	5,387	$7.56M
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)	<1%	2,387	100	$72K
T1005	Respite care services, up to 15 minutes	<1%	1,620	63	$63K

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.

From NPPES

Who's on the registration

Authorized officialGUTIERREZ, EVELIA (ADMINISTRATOR)