LA GUADALUPANA PRIMARY HOME CARE, LLC
NPI: 1679802482
· EAGLE PASS, TX 78852
· Personal Care Attendant
· NPI assigned 12/08/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$53.66M
Total Medicaid Paid
Provider Details
| Authorized Official | GARZA, VANESS (VICE-PRESIDENT) |
| NPI Enumeration Date | 12/08/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,132 |
$2.72M |
| 2019 |
33,460 |
$2.85M |
| 2020 |
129,725 |
$5.86M |
| 2021 |
250,186 |
$12.01M |
| 2022 |
200,119 |
$10.23M |
| 2023 |
194,946 |
$10.01M |
| 2024 |
166,555 |
$9.98M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
880,053 |
39,602 |
$49.57M |
| T1005 |
Respite care services, up to 15 minutes |
52,437 |
3,010 |
$2.38M |
| 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) |
47,633 |
2,316 |
$1.70M |