NEW ERA MEDICAL SERVICES INC
NPI: 1225160799
· MCALLEN, TX 78504
· Respite Care
· NPI assigned 03/11/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$8.51M
Total Medicaid Paid
Provider Details
| Authorized Official | FLORES, RALPH (PRESIDENT) |
| NPI Enumeration Date | 03/11/2007 |
Related Entities
Other providers sharing the same authorized official: FLORES, RALPH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,203 |
$468K |
| 2019 |
2,256 |
$542K |
| 2020 |
19,763 |
$915K |
| 2021 |
42,349 |
$1.92M |
| 2022 |
35,666 |
$1.76M |
| 2023 |
30,076 |
$1.46M |
| 2024 |
26,420 |
$1.45M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
154,101 |
6,434 |
$8.42M |
| 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) |
2,212 |
85 |
$51K |
| T1005 |
Respite care services, up to 15 minutes |
1,420 |
63 |
$41K |