GENTLE TOUCH PRIMARY HOME CARE LLC
NPI: 1538409834
· MCALLEN, TX 78504
· Home Health Agency
· NPI assigned 02/22/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$10.46M
Total Medicaid Paid
8,523
Beneficiary Records
Provider Details
| Authorized Official | CRUZ, RAQUEL (ADMINISTRATOR/OWNER) |
| NPI Enumeration Date | 02/22/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
45,527 |
$2.92M |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
186,140 |
8,029 |
$10.18M |
| T1005 |
Respite care services, up to 15 minutes |
8,941 |
494 |
$288K |