BEST OUTCOMES HOME HEALTH LLC
NPI: 1659735694
· EL PASO, TX 79935
· Nursing Care Agency
· NPI assigned 04/06/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$23.93M
Total Medicaid Paid
Provider Details
| Authorized Official | ROMAN, BRENDA (ALTERNATE ADMINISTRATOR) |
| NPI Enumeration Date | 04/06/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,472 |
$853K |
| 2019 |
17,260 |
$1.59M |
| 2020 |
48,380 |
$2.57M |
| 2021 |
72,576 |
$3.96M |
| 2022 |
79,023 |
$4.57M |
| 2023 |
83,857 |
$4.94M |
| 2024 |
79,415 |
$5.44M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
360,878 |
16,915 |
$22.91M |
| 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) |
13,993 |
679 |
$621K |
| T1005 |
Respite care services, up to 15 minutes |
12,112 |
595 |
$394K |