Agency
Hearts of Texas Provider Services, LLC
Hearts of Texas Provider Services, LLC was paid $1.12M by Medicaid between Jun 2021 and Sep 2023, across 1 billing code. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoHEARTS OF TEXAS PROVIDER SERVICES, LLC
PHARR, TX 78577
PHARR, TX 78577
33aNPI1619499522assigned 07/12/2017
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$1.12M
24GClaims24,576
24DCodes billed1
24AFirst – last monthJun 2021 – Sep 2023
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Texas
Rank by total paid#144 of 183
Median peer was paid$6.15M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 5,887 | $215K | |
| 2022 | 11,917 | $594K | |
| 2023 | 6,772 | $312K |
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% | 24,576 | 995 | $1.12M |
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 officialLOPEZ, DANA (ADMINISTRATOR)