Agency
ARC Primary Care, LLC.
ARC Primary Care, LLC. was paid $42.34M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 64% of everything it billed.
33Billing provider infoARC PRIMARY CARE, LLC.
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1306103759assigned 04/23/2012
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$42.34M
24GClaims582,777
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Texas
Rank by total paid#18 of 183
Median peer was paid$6.15M
This provider vs. median6.9×
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.
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 | 5,260 | $1.85M | |
| 2019 | 6,610 | $1.71M | |
| 2020 | 54,655 | $2.99M | |
| 2021 | 149,127 | $10.25M | |
| 2022 | 137,251 | $9.60M | |
| 2023 | 131,836 | $8.51M | |
| 2024incomplete | 98,038 | $7.44M |
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 | 64% | 511,898 | 20,446 | $27.12M |
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | 31% | 8,068 | 1,046 | $13.19M |
| T1005 | Respite care services, up to 15 minutes | 2.5% | 28,523 | 1,380 | $1.06M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 2.3% | 34,288 | 1,257 | $967K |
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 officialNELSON, RICHARD (PRESIDENT / CEO)
| Provider | Location | Paid |
|---|---|---|
| Eon, INC. | New Ulm, MN | $31.55M |
| Richard L. Nelson, O.D. P.L.C. | Indianola, IA | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.