Gulf Coast Primary Home Care INC

Gulf Coast Primary Home Care INC was paid $12.75M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoGULF COAST PRIMARY HOME CARE INC
LAKE JACKSON, TX 77566

33aNPI1831162684assigned 02/10/2006

33bProvider typeHome Health Agency

28Total paid$12.75M

24GClaims211,467

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#190 of 1,243

Median peer was paid$1.86M

This provider vs. median6.8×

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 Concentration99% 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	1,725	$811K
2019	3,421	$753K
2020	22,134	$1.10M
2021	41,432	$2.00M
2022	47,259	$2.59M
2023	51,149	$2.80M
2024incomplete	44,347	$2.69M

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	99%	207,884	10,765	$12.63M
T1005	Respite care services, up to 15 minutes	<1%	3,583	264	$127K

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 officialROMAN, NANCY (ADMINISTRATOR)

Same official

Other billing entities under ROMAN, NANCY

Full network →

Provider	Location	Paid
Iph Health Care Services, INC.	Lake Jackson, TX	$37K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.