CIELO AZUL PROVIDER SERVICES, LLC.
NPI: 1477023273
· MCALLEN, TX 78501
· Personal Care Attendant
· NPI assigned 12/05/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$21.97M
Total Medicaid Paid
Provider Details
| Authorized Official | HARO, CLAUDIA (PRESIDENT/CEO) |
| NPI Enumeration Date | 12/05/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13,043 |
$605K |
| 2021 |
46,413 |
$2.24M |
| 2022 |
77,737 |
$4.23M |
| 2023 |
106,931 |
$5.86M |
| 2024 |
148,795 |
$9.04M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
364,032 |
14,050 |
$20.74M |
| T1005 |
Respite care services, up to 15 minutes |
12,914 |
795 |
$698K |
| 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) |
15,973 |
690 |
$536K |