EL JARDIN PROVIDER SERVICES, LLC.
NPI: 1457981276
· MCALLEN, TX 78501
· Developmentally Disabled Services Day Training Agency
· NPI assigned 01/21/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
90% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$28.07M
Total Medicaid Paid
Provider Details
| Authorized Official | RAMIREZ, CASEY (CEO) |
| NPI Enumeration Date | 01/21/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
43,019 |
$1.80M |
| 2022 |
151,697 |
$7.15M |
| 2023 |
185,606 |
$8.86M |
| 2024 |
189,557 |
$10.26M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
496,425 |
17,495 |
$25.39M |
| 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) |
45,044 |
1,736 |
$1.52M |
| T1005 |
Respite care services, up to 15 minutes |
28,410 |
1,436 |
$1.16M |