EDWARD'S HOME HEALTH, INC.
NPI: 1831458249
· AUSTIN, TX 78753
· Home Health Agency
· NPI assigned 05/07/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$5.07M
Total Medicaid Paid
Provider Details
| Authorized Official | ZAPATA, JOE (ADMINISTRATOR) |
| NPI Enumeration Date | 05/07/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,050 |
$184K |
| 2021 |
19,501 |
$1.11M |
| 2022 |
22,054 |
$1.33M |
| 2023 |
20,972 |
$1.29M |
| 2024 |
16,268 |
$1.15M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
80,463 |
4,204 |
$5.02M |
| S9124 |
Nursing care, in the home; by licensed practical nurse, per hour |
1,365 |
579 |
$51K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
17 |
13 |
$915.55 |