Prosperity Health Care, LLC

Prosperity Health Care, LLC was paid $17.82M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 89% of everything it billed.

33Billing provider infoPROSPERITY HEALTH CARE, LLC
MCALLEN, TX 78504

33aNPI1497092076assigned 01/15/2013

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$17.82M

24GClaims368,218

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Texas

Rank by total paid#37 of 183

Median peer was paid$6.15M

This provider vs. median2.9×

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.

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
2018	8,480	$497K
2019	8,007	$482K
2020	21,554	$858K
2021	50,366	$2.15M
2022	48,475	$2.34M
2023	83,578	$3.77M
2024incomplete	147,758	$7.73M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	89%	314,927	12,007	$15.91M
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)	6.0%	34,441	1,431	$1.06M
T1005	Respite care services, up to 15 minutes	4.8%	18,850	1,000	$851K

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 officialCABRERA, MILAGROS (OWNER/DIRECTOR)