VICKI ROY HOME HEALTH SERVICE, LP
NPI: 1164516332
· HARLINGEN, TX 78550
· Home Health Agency
· NPI assigned 10/03/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$29.67M
Total Medicaid Paid
Provider Details
| Authorized Official | CATANO, SULEMA (ADMINISTRATOR) |
| NPI Enumeration Date | 10/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,430 |
$1.41M |
| 2019 |
6,408 |
$1.39M |
| 2020 |
53,060 |
$2.50M |
| 2021 |
111,733 |
$5.37M |
| 2022 |
128,250 |
$6.28M |
| 2023 |
115,989 |
$6.02M |
| 2024 |
111,118 |
$6.71M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
496,425 |
19,657 |
$28.48M |
| T1005 |
Respite care services, up to 15 minutes |
20,197 |
1,078 |
$823K |
| 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) |
12,366 |
458 |
$372K |