CARECETERA HOME CARE, INC.
NPI: 1326194846
· DEL RIO, TX 78840
· Home Health Agency
· NPI assigned 01/26/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$26.31M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,702 |
$842K |
| 2019 |
12,807 |
$1.03M |
| 2020 |
44,045 |
$2.27M |
| 2021 |
92,606 |
$4.94M |
| 2022 |
91,588 |
$5.22M |
| 2023 |
96,126 |
$5.66M |
| 2024 |
98,031 |
$6.36M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
413,351 |
18,302 |
$25.17M |
| T1005 |
Respite care services, up to 15 minutes |
14,295 |
839 |
$723K |
| 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) |
9,259 |
453 |
$409K |