AMAZING GRACE PRIMARY HOME CARE LLC
NPI: 1649539834
· LOS FRESNOS, TX 78566
· In Home Supportive Care Agency
· NPI assigned 05/09/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$21.87M
Total Medicaid Paid
Provider Details
| Authorized Official | CAVAZOS, JAVIER (ADMINISTRATOR) |
| NPI Enumeration Date | 05/09/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
6,269 |
$1.75M |
| 2019 |
19,889 |
$1.85M |
| 2020 |
54,734 |
$2.44M |
| 2021 |
93,440 |
$4.27M |
| 2022 |
85,584 |
$4.30M |
| 2023 |
75,444 |
$3.69M |
| 2024 |
62,979 |
$3.57M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
357,194 |
16,293 |
$20.37M |
| 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) |
24,607 |
1,238 |
$849K |
| T1005 |
Respite care services, up to 15 minutes |
16,538 |
962 |
$646K |