NOVA PRIMARY HOME CARE, LLC
NPI: 1144890625
· LAREDO, TX 78040
· Primary Care Clinic/Center
· NPI assigned 06/28/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$2.25M
Total Medicaid Paid
Provider Details
| Authorized Official | EGUIA, JORGE (OWNER/CEO) |
| NPI Enumeration Date | 06/28/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
3,083 |
$135K |
| 2023 |
13,757 |
$621K |
| 2024 |
27,376 |
$1.49M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
43,323 |
1,550 |
$2.23M |
| 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) |
893 |
36 |
$15K |