Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Palm Valley Primary Home Care, INC.

Palm Valley Primary Home Care, INC. was paid $27.47M by Medicaid between Jul 2020 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 95% of everything it billed.

33Billing provider infoPALM VALLEY PRIMARY HOME CARE, INC.
EDINBURG, TX 78539
33aNPI1487214821assigned 06/18/2019
33bProvider typePersonal Care Attendant
28Total paid$27.47M
24GClaims542,845
24DCodes billed3
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers

Next to other Personal Care Attendant providers in Texas

Rank by total paid#33 of 347
Median peer was paid$4.10M
This provider vs. median6.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration95% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$500K$1.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202022,706$1.04M
202166,360$3.01M
2022153,338$7.69M
2023168,408$8.23M
2024incomplete132,033$7.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5125 Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes 95% 505,571 18,306 $26.14M
T1005 Respite care services, up to 15 minutes 3.0% 21,318 1,080 $831K
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) 1.8% 15,956 578 $494K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCANALES, IDALIA (CEO)
Same official

Other billing entities under CANALES, IDALIA

Full network →
ProviderLocationPaid
Palm Valley Health Care, INC.Edinburg, TX$9.57M
Palm Valley Health Care II INCEdinburg, TX$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.