Siempre Aqui Home Health Care LLC

Siempre Aqui Home Health Care LLC was paid $5.00M by Medicaid between Mar 2020 and Dec 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 98% of everything it billed.

33Billing provider infoSIEMPRE AQUI HOME HEALTH CARE LLC
RIO GRANDE CITY, TX 78582

33aNPI1700390176assigned 11/21/2017

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$5.00M

24GClaims98,321

24DCodes billed2

24AFirst – last monthMar 2020 – Dec 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Texas

Rank by total paid#100 of 183

Median peer was paid$6.15M

This provider vs. median0.8×

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 Concentration98% 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	9,379	$409K
2021	20,661	$917K
2022	19,988	$1.01M
2023	22,684	$1.19M
2024incomplete	25,609	$1.47M

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	98%	97,064	3,404	$4.92M
T1005	Respite care services, up to 15 minutes	1.7%	1,257	82	$86K

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 officialSANCHEZ, VANESSA (OWNER)