M & G PRIMARY HOME CARE, INC.
NPI: 1245417591
· MISSION, TX 78572
· Developmentally Disabled Services Day Training Agency
· NPI assigned 01/29/2008
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.
$26.10M
Total Medicaid Paid
Provider Details
| Authorized Official | CENTENO, MONICA (DIRECTOR) |
| NPI Enumeration Date | 01/29/2008 |
Related Entities
Other providers sharing the same authorized official: CENTENO, MONICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,876 |
$761K |
| 2019 |
2,934 |
$906K |
| 2020 |
54,898 |
$2.47M |
| 2021 |
157,330 |
$6.95M |
| 2022 |
105,980 |
$5.07M |
| 2023 |
100,090 |
$4.78M |
| 2024 |
96,395 |
$5.16M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
448,791 |
17,387 |
$23.66M |
| T1005 |
Respite care services, up to 15 minutes |
34,811 |
1,724 |
$1.40M |
| 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) |
35,901 |
1,334 |
$1.05M |