Regional Nursing Services MGMT., INC.
Regional Nursing Services MGMT., INC. was paid $45.37M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 92% of everything it billed.
33Billing provider infoREGIONAL NURSING SERVICES MGMT., INC.
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1578615050assigned 01/17/2007
33bProvider typePersonal Care Attendant
28Total paid$45.37M
24GClaims864,726
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Personal Care Attendant providers in Texas
Rank by total paid#16 of 347
Median peer was paid$4.10M
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,337 | $1.87M | |
| 2019 | 14,401 | $2.46M | |
| 2020 | 93,280 | $4.20M | |
| 2021 | 243,375 | $10.87M | |
| 2022 | 179,527 | $8.72M | |
| 2023 | 176,305 | $8.75M | |
| 2024incomplete | 150,501 | $8.50M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 92% | 744,053 | 29,820 | $41.54M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 4.8% | 79,293 | 3,011 | $2.17M |
| T1005 | Respite care services, up to 15 minutes | 3.7% | 35,078 | 1,854 | $1.66M |
| G0162 | Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) | 0% | 140 | 140 | $0.00 |
| G0495 | Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes | 0% | 69 | 68 | $0.00 |
| 1AA11 | 0% | 12 | 12 | $0.00 | |
| G0496 | Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes | 0% | 4,598 | 1,204 | $0.00 |
| G0494 | Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | 0% | 297 | 297 | $0.00 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 1,186 | 1,174 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialREYES, ROBERTA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Maximum Home Health, LLC | Weslaco, TX | $51K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.