Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › MCALLEN › GENTLE TOUCH PRIMARY HOME CARE LLC

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
195,081
Total Claims
8,523
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCRUZ, RAQUEL (ADMINISTRATOR/OWNER)
NPI Enumeration Date02/22/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal 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