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FORTALEZA Y AMISTAD PRIMARY HOME CARE, LLC.
FORTALEZA Y AMISTAD PRIMARY HOME CARE, LLC.
NPI: 1194338681
· WESLACO, TX 78599
· Personal Care Attendant
· NPI assigned 08/25/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$3.99M
Total Medicaid Paid
Provider Details
| Authorized Official | FLORES, RICARDO (ADMINISTRATOR) |
| NPI Enumeration Date | 08/25/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
780 |
$34K |
| 2022 |
17,753 |
$869K |
| 2023 |
29,410 |
$1.41M |
| 2024 |
31,821 |
$1.67M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
77,930 |
2,871 |
$3.92M |
| T1005 |
Respite care services, up to 15 minutes |
1,834 |
95 |
$69K |