PROVIDER CARE AT HOME LLC
NPI: 1538665211
· SAN ANTONIO, TX 78209
· Developmentally Disabled Services Day Training Agency
· NPI assigned 04/02/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$20.35M
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, SHANE (ADMINISTRATOR/OWNER) |
| NPI Enumeration Date | 04/02/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
7,681 |
$449K |
| 2021 |
43,780 |
$2.56M |
| 2022 |
56,662 |
$3.99M |
| 2023 |
82,032 |
$6.05M |
| 2024 |
104,285 |
$7.30M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
277,925 |
13,145 |
$19.27M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
7,536 |
257 |
$611K |
| T1005 |
Respite care services, up to 15 minutes |
8,979 |
752 |
$470K |