ROSA ELIA MARTINEZ
NPI: 1194118281
· BROWNSVILLE, TX 78521
· In Home Supportive Care Agency
· NPI assigned 03/12/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$14.36M
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINEZ, ROSA (ALT. ADMINISTRATOR/OWNER) |
| NPI Enumeration Date | 03/12/2015 |
Related Entities
Other providers sharing the same authorized official: MARTINEZ, ROSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
322 |
$0.00 |
| 2019 |
6,092 |
$857.50 |
| 2020 |
21,413 |
$690K |
| 2021 |
58,078 |
$2.46M |
| 2022 |
79,090 |
$3.20M |
| 2023 |
76,876 |
$3.48M |
| 2024 |
82,756 |
$4.52M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
296,547 |
10,853 |
$13.61M |
| 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) |
22,305 |
920 |
$567K |
| T1005 |
Respite care services, up to 15 minutes |
5,775 |
254 |
$175K |