Vicki Roy Home Health Service, LP

Vicki Roy Home Health Service, LP was paid $29.67M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 96% of everything it billed.

33Billing provider infoVICKI ROY HOME HEALTH SERVICE, LP
HARLINGEN, TX 78550

33aNPI1164516332assigned 10/03/2006

33bProvider typeHome Health Agency

28Total paid$29.67M

24GClaims528,988

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#72 of 1,243

Median peer was paid$1.86M

This provider vs. median16×

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 Concentration96% 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	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
2024incomplete	111,118	$6.71M

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	96%	496,425	19,657	$28.48M
T1005	Respite care services, up to 15 minutes	2.8%	20,197	1,078	$823K
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)	1.3%	12,366	458	$372K

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 officialCATANO, SULEMA (ADMINISTRATOR)