BLUE RIVER HEALTH SYSTEM, LLC
NPI: 1780096685
· SAN ANTONIO, TX 78228
· In Home Supportive Care Agency
· NPI assigned 05/27/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.
$7.31M
Total Medicaid Paid
Provider Details
| Authorized Official | ROIG, LORENA (OWNER/ADMINISTRATOR) |
| NPI Enumeration Date | 05/27/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
36,689 |
$2.18M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
119,992 |
6,192 |
$7.31M |