ALEGRIA PRIMARY HOME CARE, INC.
NPI: 1528248085
· MCALLEN, TX 78504
· Developmentally Disabled Services Day Training Agency
· NPI assigned 11/13/2007
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.
$96.45M
Total Medicaid Paid
Provider Details
| Authorized Official | NINO, FRANCISCO (ADMINISTRATOR) |
| NPI Enumeration Date | 11/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,973 |
$2.15M |
| 2019 |
19,888 |
$3.11M |
| 2020 |
138,432 |
$6.44M |
| 2021 |
399,631 |
$18.84M |
| 2022 |
391,052 |
$20.25M |
| 2023 |
396,293 |
$20.90M |
| 2024 |
412,458 |
$24.76M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
1,562,709 |
62,596 |
$88.73M |
| 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) |
135,493 |
5,285 |
$4.38M |
| T1005 |
Respite care services, up to 15 minutes |
68,525 |
4,115 |
$3.33M |