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DE LOS SANTOS PRIMARY HOME CARE, LLC.
DE LOS SANTOS PRIMARY HOME CARE, LLC.
NPI: 1821620337
· ALAMO, TX 78516
· Personal Care Attendant
· NPI assigned 02/12/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
90% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$5.95M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
10,788 |
$472K |
| 2022 |
36,951 |
$1.85M |
| 2023 |
35,332 |
$1.74M |
| 2024 |
32,075 |
$1.88M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
99,342 |
3,474 |
$5.37M |
| 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) |
14,677 |
488 |
$519K |
| T1005 |
Respite care services, up to 15 minutes |
1,127 |
75 |
$63K |