NUEVO DESTINO PRIMARY HOME CARE LLC
NPI: 1265063796
· HARLINGEN, TX 78550
· In Home Supportive Care Agency
· NPI assigned 02/03/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
90% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$26.73M
Total Medicaid Paid
Provider Details
| Authorized Official | YANEZ, JULIO (OWNER) |
| NPI Enumeration Date | 02/03/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
36,962 |
$1.60M |
| 2022 |
125,637 |
$5.99M |
| 2023 |
180,563 |
$8.65M |
| 2024 |
190,794 |
$10.49M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
442,742 |
15,884 |
$24.06M |
| 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) |
62,220 |
2,417 |
$1.58M |
| T1005 |
Respite care services, up to 15 minutes |
28,994 |
1,319 |
$1.09M |