Presencia Primary Home Care Services LLC

Presencia Primary Home Care Services LLC was paid $3.51M by Medicaid between Nov 2020 and Dec 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoPRESENCIA PRIMARY HOME CARE SERVICES LLC
BROWNSVILLE, TX 78526

33aNPI1689109480assigned 04/29/2017

33bProvider typeIn Home Supportive Care Agency

28Total paid$3.51M

24GClaims73,503

24DCodes billed2

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other In Home Supportive Care Agency providers in Texas

Rank by total paid#75 of 163

Median peer was paid$2.57M

This provider vs. median1.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	690	$27K
2021	8,325	$343K
2022	15,693	$703K
2023	21,359	$1.00M
2024incomplete	27,436	$1.43M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	99%	72,657	2,595	$3.48M
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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)	<1%	846	36	$25K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGUERRERO, DAVE (OWNER/ADMINISTRATOR)