AMISTAD PRIMARY HOME CARE, INC.
NPI: 1275797599
· EDINBURG, TX 78541
· Home Health Agency
· NPI assigned 07/16/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$10.04M
Total Medicaid Paid
Provider Details
| Authorized Official | HOUSER, ADELA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/16/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,509 |
$273K |
| 2019 |
1,280 |
$327K |
| 2020 |
10,105 |
$715K |
| 2021 |
37,254 |
$1.85M |
| 2022 |
42,363 |
$2.06M |
| 2023 |
47,379 |
$2.22M |
| 2024 |
48,979 |
$2.59M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
172,825 |
6,825 |
$9.44M |
| T1005 |
Respite care services, up to 15 minutes |
14,309 |
637 |
$492K |
| 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) |
2,735 |
114 |
$104K |