Good Shepherd Primary Health Care LLC

Good Shepherd Primary Health Care LLC was paid $7.05M 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 — 91% of everything it billed.

33Billing provider infoGOOD SHEPHERD PRIMARY HEALTH CARE LLC
EDCOUCH, TX 78538

33aNPI1215143516assigned 05/15/2007

33bProvider typeNursing Care Agency

28Total paid$7.05M

24GClaims137,123

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nursing Care Agency providers in Texas

Rank by total paid#73 of 162

Median peer was paid$5.72M

This provider vs. median1.2×

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 Concentration91% 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	10,699	$449K
2019	10,263	$484K
2020	16,049	$752K
2021	28,540	$1.44M
2022	22,275	$1.18M
2023	23,341	$1.22M
2024incomplete	25,956	$1.53M

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	91%	132,876	5,192	$6.45M
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	7.9%	2,919	2,834	$559K
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%	1,328	48	$44K

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 officialSALINAS, MACARIA (OWNER ADMINISTRATOR)