GENTLE ARMS HEALTHCARE SERVICES, LLC.
NPI: 1518479294
· MERCEDES, TX 78570
· Personal Care Attendant
· NPI assigned 11/02/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$5.62M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
5,182 |
$173K |
| 2021 |
28,420 |
$1.05M |
| 2022 |
25,919 |
$1.11M |
| 2023 |
28,986 |
$1.35M |
| 2024 |
36,433 |
$1.95M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
109,278 |
4,112 |
$5.17M |
| 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) |
15,662 |
639 |
$444K |