ADORE PRIMARY HOME CARE, INC.
NPI: 1386971299
· PALMVIEW, TX 78572
· Home Health Agency
· NPI assigned 11/13/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$10.90M
Total Medicaid Paid
Provider Details
| Authorized Official | LEAL, ARABEL (PRESIDENT) |
| NPI Enumeration Date | 11/13/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,440 |
$565K |
| 2019 |
1,644 |
$617K |
| 2020 |
26,387 |
$1.07M |
| 2021 |
48,315 |
$2.02M |
| 2022 |
56,246 |
$2.53M |
| 2023 |
49,096 |
$2.17M |
| 2024 |
37,790 |
$1.92M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
207,500 |
8,424 |
$10.52M |
| 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) |
13,418 |
503 |
$375K |