TORO HOME HEALTH SERVICES INC
NPI: 1487925798
· DALLAS, TX 75249
· Respite Care
· NPI assigned 01/18/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$4.75M
Total Medicaid Paid
Provider Details
| Authorized Official | GAJI, TAI (ADMINISTRATOR) |
| NPI Enumeration Date | 01/18/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,164 |
$297K |
| 2019 |
3,155 |
$326K |
| 2020 |
9,160 |
$460K |
| 2021 |
15,158 |
$816K |
| 2022 |
17,256 |
$1.03M |
| 2023 |
15,507 |
$943K |
| 2024 |
13,247 |
$884K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
74,605 |
3,689 |
$4.75M |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
42 |
12 |
$2K |