Agency
Del Mar Primary Home Care, LLC.
Del Mar Primary Home Care, LLC. was paid $23.74M by Medicaid between Aug 2019 and Dec 2024, across 4 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 94% of everything it billed.
33Billing provider infoDEL MAR PRIMARY HOME CARE, LLC.
ZAPATA, TX 78076
ZAPATA, TX 78076
33aNPI1699280016assigned 12/07/2017
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$23.74M
24GClaims459,238
24DCodes billed4
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Texas
Rank by total paid#28 of 183
Median peer was paid$6.15M
This provider vs. median3.9×
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.
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 | |
|---|---|---|---|
| 2019 | 373 | $94K | |
| 2020 | 22,356 | $1.00M | |
| 2021 | 66,612 | $3.07M | |
| 2022 | 102,743 | $5.04M | |
| 2023 | 125,977 | $6.34M | |
| 2024incomplete | 141,177 | $8.19M |
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 | 94% | 431,518 | 15,269 | $22.42M |
| T1005 | Respite care services, up to 15 minutes | 5.1% | 22,307 | 1,345 | $1.20M |
| 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% | 5,378 | 192 | $115K |
| S5101 | Day care services, adult; per half day | <1% | 35 | 30 | $480.00 |
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 officialGONZALEZ, GABRIELA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Un Nuevo Dia De Alegria LLC | Zapata, TX | $1.68M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.