MIS ABRAZOS HOMECARE, LLC.
NPI: 1568974210
· EDINBURG, TX 78539
· Personal Care Attendant
· NPI assigned 11/02/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$5.49M
Total Medicaid Paid
Provider Details
| Authorized Official | ALDAPE, HAROLD (ADMINISTRATOR) |
| NPI Enumeration Date | 11/02/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,430 |
$101K |
| 2020 |
27,682 |
$1.18M |
| 2021 |
73,689 |
$3.11M |
| 2022 |
23,455 |
$1.11M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
111,246 |
4,223 |
$5.06M |
| 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) |
13,995 |
515 |
$386K |
| T1005 |
Respite care services, up to 15 minutes |
2,015 |
86 |
$51K |