Santana Primary Home Care, INC.

Santana Primary Home Care, INC. was paid $30.81M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoSANTANA PRIMARY HOME CARE, INC.
SAN ANTONIO, TX 78228

33aNPI1215246863assigned 09/30/2010

33bProvider typeHome Health Agency

28Total paid$30.81M

24GClaims537,908

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#68 of 1,243

Median peer was paid$1.86M

This provider vs. median17×

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 Concentration100% of spending on code S5125 with only 2 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	41,529	$1.85M
2019	44,216	$2.16M
2020	57,311	$3.06M
2021	98,600	$5.32M
2022	98,747	$5.81M
2023	95,461	$5.70M
2024incomplete	102,044	$6.92M

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	100%	535,615	23,018	$30.73M
T1005	Respite care services, up to 15 minutes	<1%	2,293	154	$87K

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 officialBALDREE, ERIKA (ALTERNATE ADMINISTRATOR)