Paradigm Health Management Corporation
Paradigm Health Management Corporation was paid $16.63M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoPARADIGM HEALTH MANAGEMENT CORPORATION
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1144231002assigned 08/10/2006
33bProvider typePersonal Care Attendant
28Total paid$16.63M
24GClaims282,852
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Personal Care Attendant providers in Texas
Rank by total paid#57 of 347
Median peer was paid$4.10M
This provider vs. median4.1×
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.
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 | |
|---|---|---|---|
| 2018 | 4,229 | $1.05M | |
| 2019 | 3,843 | $1.00M | |
| 2020 | 28,933 | $1.41M | |
| 2021 | 61,987 | $2.84M | |
| 2022 | 66,444 | $3.45M | |
| 2023 | 61,901 | $3.35M | |
| 2024incomplete | 55,515 | $3.53M |
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 | 100% | 266,445 | 11,099 | $16.63M |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 0% | 1,050 | 666 | $0.00 |
| G0493 | Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | 0% | 319 | 287 | $0.00 |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 0% | 9,486 | 903 | $0.00 |
| G0494 | Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | 0% | 4,164 | 1,034 | $0.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 1,375 | 1,326 | $0.00 |
| 3HB21 | 0% | 13 | 13 | $0.00 |
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 officialJAMES, ANNA (ADMINISTRATOR)