M & J Primary Home Care LLC

M & J Primary Home Care LLC was paid $7.64M by Medicaid between Apr 2018 and Dec 2024, across 1 billing code. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoM & J PRIMARY HOME CARE LLC
LAREDO, TX 78041

33aNPI1619411642assigned 12/09/2016

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$7.64M

24GClaims115,725

24DCodes billed1

24AFirst – last monthApr 2018 – Dec 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Texas

Rank by total paid#84 of 183

Median peer was paid$6.15M

This provider vs. median1.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

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	1,435	$279K
2019	8,857	$627K
2020	17,863	$820K
2021	28,932	$1.30M
2022	25,991	$1.47M
2023	15,983	$1.45M
2024incomplete	16,664	$1.70M

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	100%	115,725	5,739	$7.64M

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 officialBARBOSA, MARGARITA (MANAGER)