Nova Primary Home Care, LLC

Nova Primary Home Care, LLC was paid $2.25M by Medicaid between Aug 2022 and Dec 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoNOVA PRIMARY HOME CARE, LLC
LAREDO, TX 78040

33aNPI1144890625assigned 06/28/2021

33bProvider typePrimary Care Clinic/Center

28Total paid$2.25M

24GClaims44,216

24DCodes billed2

24AFirst – last monthAug 2022 – Dec 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Texas

Rank by total paid#4 of 180

Median peer was paid$25K

This provider vs. median89×

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 Concentration99% of spending on code S5125 with only 2 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
2022	3,083	$135K
2023	13,757	$621K
2024incomplete	27,376	$1.49M

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	99%	43,323	1,550	$2.23M
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)	<1%	893	36	$15K

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 officialEGUIA, JORGE (OWNER/CEO)