Mcallen Health Network II, INC

Mcallen Health Network II, INC was paid $2.59M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 94% of everything it billed.

33Billing provider infoMCALLEN HEALTH NETWORK II, INC
MCALLEN, TX 78501

33aNPI1356312862assigned 02/01/2006

33bProvider typeNursing Care Agency

28Total paid$2.59M

24GClaims52,333

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Nursing Care Agency providers in Texas

Rank by total paid#108 of 162

Median peer was paid$5.72M

This provider vs. median0.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration94% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

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	350	$158K
2019	180	$44K
2020	5,772	$264K
2021	10,984	$468K
2022	12,550	$567K
2023	13,024	$579K
2024incomplete	9,473	$507K

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	94%	51,709	2,017	$2.42M
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	6.4%	624	604	$166K

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 officialANCISO, SONIA (PRESIDENT)

Same official

Other billing entities under ANCISO, SONIA

Full network →

Provider	Location	Paid
Harmony Health Network LLC	Mcallen, TX	$949K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.