SAN JOSE HEALTH CARE, LLC
NPI: 1144562539
· PHARR, TX 78577
· Home Health Agency
· NPI assigned 03/23/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$38.60M
Total Medicaid Paid
Provider Details
| Authorized Official | LOZANO, CARMINA (ADMINISTRATOR) |
| Parent Organization | BRECKENRIDGE SERVICES, LLC |
| NPI Enumeration Date | 03/23/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
575 |
$18K |
| 2019 |
6,938 |
$266K |
| 2020 |
24,607 |
$1.06M |
| 2021 |
84,747 |
$3.47M |
| 2022 |
210,211 |
$9.78M |
| 2023 |
252,403 |
$11.79M |
| 2024 |
224,943 |
$12.22M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
713,875 |
25,715 |
$35.64M |
| T1005 |
Respite care services, up to 15 minutes |
40,995 |
2,131 |
$1.71M |
| 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) |
49,554 |
1,893 |
$1.26M |