Agency
San Jose Health Care, LLC
San Jose Health Care, LLC was paid $38.60M by Medicaid between Oct 2018 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 92% of everything it billed.
33Billing provider infoSAN JOSE HEALTH CARE, LLC
PHARR, TX 78577
PHARR, TX 78577
33aNPI1144562539assigned 03/23/2013
33bProvider typeHome Health Agency
28Total paid$38.60M
24GClaims804,424
24DCodes billed3
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Texas
Rank by total paid#50 of 1,243
Median peer was paid$1.86M
This provider vs. median21×
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 Concentration92% 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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 224,943 | $12.22M |
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 | 92% | 713,875 | 25,715 | $35.64M |
| T1005 | Respite care services, up to 15 minutes | 4.4% | 40,995 | 2,131 | $1.71M |
| 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) | 3.3% | 49,554 | 1,893 | $1.26M |
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 officialLOZANO, CARMINA (ADMINISTRATOR)
Parent organizationBRECKENRIDGE SERVICES, LLC