Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HARLINGEN › APC HOME HEALTH SERVICE, INC.

APC HOME HEALTH SERVICE, INC.

NPI: 1629184296 · HARLINGEN, TX 78550 · Nursing Care Agency · NPI assigned 08/23/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

94% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$97.58M
Total Medicaid Paid
1,833,846
Total Claims
74,475
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, MANUEL (RN)
NPI Enumeration Date08/23/2006

Related Entities

Other providers sharing the same authorized official: GARCIA, MANUEL

ProviderCityStateTotal Paid
APC HOME HEALTH SERVICE, INC EL PASO TX $66.57M
APC HOME HEALTH SERVICE, INC. HARLINGEN TX $5.72M
T.L.C. ADULT DAY CARE CENTERS, INC. CORPUS CHRISTI TX $1.57M
TLC ADULT DAY CARE CENTERS, INC. EAGLE PASS TX $572K
MANUEL A. GARCIA MDPA MIAMI FL $225K
MANUEL E GARCIA MD PA MIAMI FL $175K
TLC ADULT DAY CARE CENTERS, INC. CORPUS CHRISTI TX $59K
MANUEL GARCIA PROSTHETICS LAB INC STRONGSVILLE OH $9K
APC HOME HEALTH SERVICE, INC HARLINGEN TX $5K
TLC ADULT DAY CARE CENTERS, INC. EAGLE PASS TX $853.83

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60,112 $4.01M
2019 96,645 $4.56M
2020 174,079 $8.40M
2021 352,134 $17.03M
2022 276,662 $14.18M
2023 446,029 $23.42M
2024 428,185 $25.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 1,691,371 67,146 $91.84M
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) 88,338 3,971 $3.35M
T1005 Respite care services, up to 15 minutes 54,137 3,358 $2.38M