MEDGUARD HOME CARE, LLC
NPI: 1508469362
· MCALLEN, TX 78501
· Home Health Agency
· NPI assigned 11/16/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$6.97M
Total Medicaid Paid
Provider Details
| Authorized Official | SEGURA, JAIRO (CEO) |
| NPI Enumeration Date | 11/16/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
6,733 |
$308K |
| 2023 |
41,386 |
$1.95M |
| 2024 |
89,633 |
$4.71M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
124,471 |
4,498 |
$6.43M |
| T1005 |
Respite care services, up to 15 minutes |
8,763 |
468 |
$423K |
| T1019 |
Personal 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) |
4,518 |
189 |
$115K |