SAN RAFAEL HEALTHCARE, INC
NPI: 1487996096
· SAN ANTONIO, TX 78229
· Nursing Care Agency
· NPI assigned 03/21/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1000 with only 1 total codes billed. Highly concentrated billing profile.
$13.60M
Total Medicaid Paid
Provider Details
| Authorized Official | FARIAS, JOHN (PRESIDENT) |
| NPI Enumeration Date | 03/21/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
100 |
$54K |
| 2020 |
1,914 |
$946K |
| 2021 |
8,543 |
$4.02M |
| 2022 |
7,276 |
$3.15M |
| 2023 |
6,455 |
$2.69M |
| 2024 |
5,930 |
$2.75M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1000 |
Private duty / independent nursing service(s) - licensed, up to 15 minutes |
30,218 |
1,289 |
$13.60M |