Garcia, Josephine

Garcia, Josephine was paid $11.79M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 95% of everything it billed.

33Billing provider infoGARCIA, JOSEPHINE
SAN ANTONIO, TX 78227

33aNPI1790020675assigned 12/04/2012

33bProvider typeIn Home Supportive Care Agency

28Total paid$11.79M

24GClaims163,039

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other In Home Supportive Care Agency providers in Texas

Rank by total paid#43 of 163

Median peer was paid$2.57M

This provider vs. median4.6×

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 Concentration95% of spending on code S5125 with only 2 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	1,919	$1.05M
2019	6,284	$1.38M
2020	30,512	$1.67M
2021	35,682	$2.00M
2022	22,401	$1.44M
2023	35,339	$2.15M
2024incomplete	30,902	$2.10M

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	95%	153,590	8,533	$11.25M
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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)	4.6%	9,449	457	$542K

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.