CHARLES S. RAMON, LLC.
NPI: 1528157187
· SAN ANTONIO, TX 78207
· Home Health Agency
· NPI assigned 10/12/2006
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.
$70.20M
Total Medicaid Paid
Provider Details
| Authorized Official | RAMON, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 10/12/2006 |
Related Entities
Other providers sharing the same authorized official: RAMON, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,516 |
$2.85M |
| 2019 |
14,550 |
$3.14M |
| 2020 |
106,439 |
$5.81M |
| 2021 |
251,661 |
$13.47M |
| 2022 |
257,946 |
$15.16M |
| 2023 |
270,691 |
$15.27M |
| 2024 |
239,531 |
$14.51M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
1,031,686 |
46,261 |
$64.66M |
| 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) |
76,319 |
3,354 |
$3.64M |
| T1005 |
Respite care services, up to 15 minutes |
40,329 |
2,147 |
$1.90M |