ACE PRIMARY HOMECARE INC
NPI: 1215129168
· PHARR, TX 78577
· Developmentally Disabled Services Day Training Agency
· NPI assigned 08/14/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$91.67M
Total Medicaid Paid
Provider Details
| Authorized Official | AMARO, LYDIA (ACCESS MANAGER) |
| NPI Enumeration Date | 08/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13,926 |
$3.73M |
| 2019 |
25,758 |
$3.62M |
| 2020 |
143,562 |
$6.46M |
| 2021 |
347,324 |
$16.28M |
| 2022 |
390,747 |
$19.91M |
| 2023 |
381,061 |
$19.62M |
| 2024 |
379,554 |
$22.03M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
1,481,185 |
57,589 |
$84.11M |
| 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) |
121,464 |
4,657 |
$3.82M |
| T1005 |
Respite care services, up to 15 minutes |
79,283 |
4,836 |
$3.73M |