PALM VALLEY PRIMARY HOME CARE, INC.
NPI: 1487214821
· EDINBURG, TX 78539
· Personal Care Attendant
· NPI assigned 06/18/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$27.47M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CANALES, IDALIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
22,706 |
$1.04M |
| 2021 |
66,360 |
$3.01M |
| 2022 |
153,338 |
$7.69M |
| 2023 |
168,408 |
$8.23M |
| 2024 |
132,033 |
$7.50M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
505,571 |
18,306 |
$26.14M |
| T1005 |
Respite care services, up to 15 minutes |
21,318 |
1,080 |
$831K |
| 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) |
15,956 |
578 |
$494K |