SOUTH TEXAS PRIMARY CARE, INC.
NPI: 1679683890
· LAREDO, TX 78040
· Home Health Agency
· NPI assigned 08/30/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$34.88M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,419 |
$1.69M |
| 2019 |
7,214 |
$1.68M |
| 2020 |
72,187 |
$3.68M |
| 2021 |
135,822 |
$7.15M |
| 2022 |
128,025 |
$7.23M |
| 2023 |
125,418 |
$7.05M |
| 2024 |
102,088 |
$6.41M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
532,624 |
21,195 |
$33.21M |
| 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) |
27,468 |
1,117 |
$894K |
| T1005 |
Respite care services, up to 15 minutes |
14,081 |
1,041 |
$780K |