MCALLEN HEALTH NETWORK II, INC
NPI: 1356312862
· MCALLEN, TX 78501
· Nursing Care Agency
· NPI assigned 02/01/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$2.59M
Total Medicaid Paid
Provider Details
| Authorized Official | ANCISO, SONIA (PRESIDENT) |
| NPI Enumeration Date | 02/01/2006 |
Related Entities
Other providers sharing the same authorized official: ANCISO, SONIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
350 |
$158K |
| 2019 |
180 |
$44K |
| 2020 |
5,772 |
$264K |
| 2021 |
10,984 |
$468K |
| 2022 |
12,550 |
$567K |
| 2023 |
13,024 |
$579K |
| 2024 |
9,473 |
$507K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
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 |
624 |
604 |
$166K |