GENESIS PHC SERVICES, LLC.
NPI: 1568972644
· PHARR, TX 78577
· Personal Care Attendant
· NPI assigned 10/03/2017
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.
$13.40M
Total Medicaid Paid
Provider Details
| Authorized Official | VARGAS, JOE (CEO/OWNER) |
| NPI Enumeration Date | 10/03/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,766 |
$192K |
| 2020 |
27,530 |
$1.11M |
| 2021 |
74,549 |
$3.10M |
| 2022 |
66,625 |
$3.13M |
| 2023 |
69,594 |
$3.33M |
| 2024 |
49,107 |
$2.54M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
270,852 |
9,888 |
$12.73M |
| T1005 |
Respite care services, up to 15 minutes |
12,665 |
569 |
$492K |
| 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) |
6,654 |
252 |
$177K |