LEGACY HOME CARE SERVICES, INC.
NPI: 1568690352
· MCALLEN, TX 78501
· Personal Care Attendant
· NPI assigned 06/30/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$30.64M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HERNANDEZ, AMBROSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37,736 |
$1.68M |
| 2019 |
39,861 |
$1.87M |
| 2020 |
103,039 |
$4.99M |
| 2021 |
161,365 |
$7.98M |
| 2022 |
110,891 |
$5.97M |
| 2023 |
92,416 |
$4.80M |
| 2024 |
53,289 |
$3.35M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
567,217 |
21,412 |
$29.54M |
| 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) |
21,880 |
822 |
$695K |
| T1005 |
Respite care services, up to 15 minutes |
9,500 |
601 |
$405K |