SAN JUAN PRIMARY HOME CARE AGENCY
NPI: 1598804148
· SAN ANTONIO, TX 78221
· Personal Care Attendant
· NPI assigned 02/06/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$27.34M
Total Medicaid Paid
Provider Details
| Authorized Official | JUAREZ, AURORA (AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 02/06/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
35,256 |
$1.71M |
| 2019 |
28,048 |
$1.51M |
| 2020 |
54,404 |
$3.01M |
| 2021 |
95,657 |
$5.30M |
| 2022 |
90,502 |
$5.43M |
| 2023 |
90,216 |
$5.40M |
| 2024 |
74,390 |
$4.98M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
464,350 |
19,581 |
$27.18M |
| T1005 |
Respite care services, up to 15 minutes |
2,680 |
138 |
$88K |
| 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) |
1,443 |
73 |
$76K |