Agency
San Rafael Healthcare, INC
San Rafael Healthcare, INC was paid $13.60M by Medicaid between Jul 2019 and Dec 2024, across 1 billing code. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 100% of everything it billed.
33Billing provider infoSAN RAFAEL HEALTHCARE, INC
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
33aNPI1487996096assigned 03/21/2013
33bProvider typeNursing Care Agency
28Total paid$13.60M
24GClaims30,218
24DCodes billed1
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Nursing Care Agency providers in Texas
Rank by total paid#49 of 162
Median peer was paid$5.72M
This provider vs. median2.4×
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 Concentration100% of spending on code T1000 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 100 | $54K | |
| 2020 | 1,914 | $946K | |
| 2021 | 8,543 | $4.02M | |
| 2022 | 7,276 | $3.15M | |
| 2023 | 6,455 | $2.69M | |
| 2024incomplete | 5,930 | $2.75M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | 100% | 30,218 | 1,289 | $13.60M |
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 officialFARIAS, JOHN (PRESIDENT)