M & J PRIMARY HOME CARE LLC
NPI: 1619411642
· LAREDO, TX 78041
· Developmentally Disabled Services Day Training Agency
· NPI assigned 12/09/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.
$7.64M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
16,664 |
$1.70M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
115,725 |
5,739 |
$7.64M |