Gentle Touch Primary Home Care LLC

Gentle Touch Primary Home Care LLC was paid $10.46M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 97% of everything it billed.

33Billing provider infoGENTLE TOUCH PRIMARY HOME CARE LLC
MCALLEN, TX 78504

33aNPI1538409834assigned 02/22/2013

33bProvider typeHome Health Agency

28Total paid$10.46M

24GClaims195,081

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#242 of 1,243

Median peer was paid$1.86M

This provider vs. median5.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

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	345	$160K
2019	520	$98K
2020	15,535	$547K
2021	37,238	$1.72M
2022	45,675	$2.39M
2023	50,241	$2.62M
2024incomplete	45,527	$2.92M

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	97%	186,140	8,029	$10.18M
T1005	Respite care services, up to 15 minutes	2.8%	8,941	494	$288K

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 officialCRUZ, RAQUEL (ADMINISTRATOR/OWNER)