CRUZ HOMECARE & EDUCATIONAL SERVICES LLC
NPI: 1407416092
· KISSIMMEE, FL 34741
· Home Health Agency
· NPI assigned 06/17/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code S9122 with only 3 total codes billed. Highly concentrated billing profile.
$13.20M
Total Medicaid Paid
Provider Details
| Authorized Official | CRUZ, XIOMARA (ADMINISTRATOR) |
| NPI Enumeration Date | 06/17/2019 |
Related Entities
Other providers sharing the same authorized official: CRUZ, XIOMARA
| Provider | City | State | Total Paid |
|---|
| XCRUZ MD PSC |
MAYAGUEZ |
PR |
$267.49 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
5,877 |
$1.04M |
| 2021 |
11,471 |
$1.97M |
| 2022 |
14,153 |
$2.48M |
| 2023 |
20,332 |
$3.52M |
| 2024 |
24,652 |
$4.19M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9122 |
Home health aide or certified nurse assistant, providing care in the home; per hour |
75,162 |
3,511 |
$13.08M |
| T1004 |
Services of a qualified nursing aide, up to 15 minutes |
1,068 |
72 |
$103K |
| S5130 |
Homemaker service, nos; per 15 minutes |
255 |
38 |
$14K |