A & E HEALTH SERVICES, INC.
NPI: 1710915301
· DONNA, TX 78537
· Home Health Agency
· NPI assigned 06/30/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$59.42M
Total Medicaid Paid
Provider Details
| Authorized Official | BALLI DOMINGUEZ, CYNTHIA (CORPORATE OPERATIONS MANAGER) |
| Parent Organization | A & E HEALTH SERVICES, INC. |
| NPI Enumeration Date | 06/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,177 |
$1.18M |
| 2019 |
10,045 |
$1.73M |
| 2020 |
74,253 |
$3.25M |
| 2021 |
206,413 |
$8.88M |
| 2022 |
292,455 |
$13.11M |
| 2023 |
299,588 |
$14.12M |
| 2024 |
310,466 |
$17.13M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
1,081,519 |
41,021 |
$55.75M |
| 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) |
85,362 |
3,349 |
$2.27M |
| T1005 |
Respite care services, up to 15 minutes |
28,516 |
1,766 |
$1.40M |