FAMILIA PRIMARY HOME CARE, INC.
NPI: 1134496698
· MISSION, TX 78572
· Developmentally Disabled Services Day Training Agency
· NPI assigned 11/28/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$7.69M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
7,141 |
$273K |
| 2021 |
26,368 |
$1.14M |
| 2022 |
35,921 |
$1.77M |
| 2023 |
45,466 |
$2.33M |
| 2024 |
39,070 |
$2.18M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
149,959 |
5,387 |
$7.56M |
| 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) |
2,387 |
100 |
$72K |
| T1005 |
Respite care services, up to 15 minutes |
1,620 |
63 |
$63K |