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PATIENT RECOVERY HEALTHCARE MANAGEMENT SERVICES, LLC
PATIENT RECOVERY HEALTHCARE MANAGEMENT SERVICES, LLC
NPI: 1861701260
· HOUSTON, TX 77060
· Personal Care Attendant
· NPI assigned 10/02/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$11.57M
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, DYRREN (EXECUTIVE ADMINISTRATOR) |
| NPI Enumeration Date | 10/02/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57 |
$13K |
| 2019 |
588 |
$133K |
| 2020 |
7,230 |
$661K |
| 2021 |
33,322 |
$2.01M |
| 2022 |
37,948 |
$2.68M |
| 2023 |
40,805 |
$2.79M |
| 2024 |
43,447 |
$3.28M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
143,658 |
7,144 |
$10.63M |
| T1005 |
Respite care services, up to 15 minutes |
11,426 |
819 |
$505K |
| 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) |
8,313 |
411 |
$439K |