MIZPAH RESIDENTIAL CARE. INC.
NPI: 1770708265
· HARLINGEN, TX 78550
· Personal Care Attendant
· NPI assigned 04/17/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$45.91M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PERAKATHU, SUNIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,123 |
$2.15M |
| 2019 |
8,818 |
$2.63M |
| 2020 |
110,973 |
$4.98M |
| 2021 |
220,987 |
$9.69M |
| 2022 |
163,388 |
$8.05M |
| 2023 |
182,617 |
$8.71M |
| 2024 |
176,006 |
$9.71M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
749,391 |
31,400 |
$42.32M |
| 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) |
83,549 |
3,386 |
$2.29M |
| T1005 |
Respite care services, up to 15 minutes |
33,972 |
1,605 |
$1.30M |