Blue River Health System, LLC

Blue River Health System, LLC was paid $7.31M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoBLUE RIVER HEALTH SYSTEM, LLC
SAN ANTONIO, TX 78228

33aNPI1780096685assigned 05/27/2014

33bProvider typeIn Home Supportive Care Agency

28Total paid$7.31M

24GClaims119,992

24DCodes billed1

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other In Home Supportive Care Agency providers in Texas

Rank by total paid#52 of 163

Median peer was paid$2.57M

This provider vs. median2.8×

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 Concentration100% of spending on code S5125 with only 1 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
2018	650	$284K
2019	986	$342K
2020	6,945	$540K
2021	25,086	$1.14M
2022	24,135	$1.31M
2023	25,501	$1.51M
2024incomplete	36,689	$2.18M

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	100%	119,992	6,192	$7.31M

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 officialROIG, LORENA (OWNER/ADMINISTRATOR)