VALLEY VIEW PRIMARY HOME CARE
NPI: 1750568382
· HARLINGEN, TX 78550
· Nursing Care Agency
· NPI assigned 01/25/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$26.28M
Total Medicaid Paid
Provider Details
| Authorized Official | ELIZARDE, LUZ (ADMINISTRATOR) |
| NPI Enumeration Date | 01/25/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39,453 |
$1.66M |
| 2019 |
41,120 |
$1.82M |
| 2020 |
56,550 |
$2.57M |
| 2021 |
119,672 |
$5.75M |
| 2022 |
103,438 |
$5.24M |
| 2023 |
89,564 |
$4.70M |
| 2024 |
77,831 |
$4.54M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
503,962 |
19,090 |
$25.52M |
| T1005 |
Respite care services, up to 15 minutes |
20,562 |
1,056 |
$646K |
| 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) |
3,104 |
133 |
$118K |