PRIME CARE MEDICAL SERVICES
NPI: 1851479851
· HEMPSTEAD, TX 77445
· Home Health Agency
· NPI assigned 11/01/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.
$9.28M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,402 |
$729K |
| 2019 |
2,952 |
$873K |
| 2020 |
8,651 |
$1.13M |
| 2021 |
31,721 |
$1.77M |
| 2022 |
34,182 |
$1.80M |
| 2023 |
32,530 |
$1.53M |
| 2024 |
26,136 |
$1.44M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
137,574 |
8,410 |
$9.28M |