Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › LAKE JACKSON › GULF COAST PRIMARY HOME CARE INC

GULF COAST PRIMARY HOME CARE INC

NPI: 1831162684 · LAKE JACKSON, TX 77566 · Home Health Agency · NPI assigned 02/10/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$12.75M
Total Medicaid Paid
211,467
Total Claims
11,029
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, NANCY (ADMINISTRATOR)
NPI Enumeration Date02/10/2006

Related Entities

Other providers sharing the same authorized official: ROMAN, NANCY

ProviderCityStateTotal Paid
IPH HEALTH CARE SERVICES, INC. LAKE JACKSON TX $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 44,347 $2.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 207,884 10,765 $12.63M
T1005 Respite care services, up to 15 minutes 3,583 264 $127K