PRESENCIA PRIMARY HOME CARE SERVICES LLC
NPI: 1689109480
· BROWNSVILLE, TX 78526
· In Home Supportive Care Agency
· NPI assigned 04/29/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$3.51M
Total Medicaid Paid
Provider Details
| Authorized Official | GUERRERO, DAVE (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 04/29/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
690 |
$27K |
| 2021 |
8,325 |
$343K |
| 2022 |
15,693 |
$703K |
| 2023 |
21,359 |
$1.00M |
| 2024 |
27,436 |
$1.43M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
72,657 |
2,595 |
$3.48M |
| 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) |
846 |
36 |
$25K |