TEXAS PROVIDER CARE, LLC
NPI: 1477696680
· LAREDO, TX 78043
· Developmentally Disabled Services Day Training Agency
· NPI assigned 02/15/2007
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.
$17.67M
Total Medicaid Paid
Provider Details
| Authorized Official | JAIMES, JOSE (ADMINISTRATOR) |
| NPI Enumeration Date | 02/15/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,442 |
$927K |
| 2019 |
3,408 |
$900K |
| 2020 |
27,752 |
$1.41M |
| 2021 |
71,776 |
$3.48M |
| 2022 |
69,452 |
$3.58M |
| 2023 |
69,304 |
$3.58M |
| 2024 |
61,741 |
$3.79M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
275,476 |
11,135 |
$16.59M |
| 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) |
23,698 |
938 |
$710K |
| T1005 |
Respite care services, up to 15 minutes |
7,701 |
467 |
$368K |