GOOD SHEPHERD PRIMARY HEALTH CARE LLC
NPI: 1215143516
· EDCOUCH, TX 78538
· Nursing Care Agency
· NPI assigned 05/15/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$7.05M
Total Medicaid Paid
Provider Details
| Authorized Official | SALINAS, MACARIA (OWNER ADMINISTRATOR) |
| NPI Enumeration Date | 05/15/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
25,956 |
$1.53M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
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 |
2,919 |
2,834 |
$559K |
| 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) |
1,328 |
48 |
$44K |