Mi Casa PHC, INC.

Mi Casa PHC, INC. was paid $7.03M 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 — 98% of everything it billed.

33Billing provider infoMI CASA PHC, INC.
EDINBURG, TX 78539

33aNPI1376619486assigned 11/28/2006

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$7.03M

24GClaims131,757

24DCodes billed2

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#87 of 183

Median peer was paid$6.15M

This provider vs. median1.1×

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 Concentration98% 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	1,182	$447K
2019	1,032	$378K
2020	14,049	$602K
2021	29,953	$1.27M
2022	26,343	$1.21M
2023	22,105	$1.06M
2024incomplete	37,093	$2.08M

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	98%	127,737	5,426	$6.87M
T1005	Respite care services, up to 15 minutes	2.4%	4,020	172	$169K

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 officialCARREON, LAURIE (CEO)