1 WORLD HOME CARE, L.L.C.
NPI: 1801108956
· SAN ANTONIO, TX 78201
· Developmentally Disabled Services Day Training Agency
· NPI assigned 07/06/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$4.60M
Total Medicaid Paid
Provider Details
| Authorized Official | AGUAYO, ANN (PRESIDENT) |
| NPI Enumeration Date | 07/06/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
4,046 |
$158K |
| 2021 |
17,029 |
$710K |
| 2022 |
15,263 |
$860K |
| 2023 |
20,334 |
$1.18M |
| 2024 |
24,537 |
$1.69M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
77,985 |
3,133 |
$4.39M |
| 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) |
3,224 |
146 |
$217K |