PRESTIGE HOME CARE SERVICES, LLC
NPI: 1770591976
· RIO GRANDE CITY, TX 78582
· Assisted Living Facility
· NPI assigned 08/03/2006
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.
$44.56M
Total Medicaid Paid
Provider Details
| Authorized Official | TREVINO, SERGIO (ADMINISTRATOR/OWNER) |
| NPI Enumeration Date | 08/03/2006 |
Related Entities
Other providers sharing the same authorized official: TREVINO, SERGIO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18,556 |
$1.75M |
| 2019 |
40,442 |
$1.84M |
| 2020 |
83,419 |
$3.94M |
| 2021 |
184,170 |
$8.81M |
| 2022 |
178,939 |
$9.06M |
| 2023 |
180,935 |
$9.35M |
| 2024 |
169,385 |
$9.82M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
782,320 |
28,500 |
$41.75M |
| T1005 |
Respite care services, up to 15 minutes |
52,963 |
2,918 |
$2.24M |
| 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) |
20,563 |
840 |
$567K |