PROVIDERS PLUS SERVICES, LLC
NPI: 1578093191
· EDINBURG, TX 78539
· Personal Care Attendant
· NPI assigned 06/15/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$12.89M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,790 |
$61K |
| 2020 |
20,767 |
$884K |
| 2021 |
43,226 |
$2.04M |
| 2022 |
45,076 |
$2.26M |
| 2023 |
62,010 |
$3.07M |
| 2024 |
81,073 |
$4.58M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
234,715 |
8,567 |
$12.15M |
| T1005 |
Respite care services, up to 15 minutes |
10,017 |
496 |
$462K |
| 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) |
9,210 |
439 |
$279K |