SAINT MICHAEL'S PRIMARY HEALTH CARE,LLC.
NPI: 1891284865
· MISSION, TX 78572
· In Home Supportive Care Agency
· NPI assigned 05/05/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$17.68M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
11,329 |
$478K |
| 2021 |
55,919 |
$2.38M |
| 2022 |
102,597 |
$4.83M |
| 2023 |
111,934 |
$5.27M |
| 2024 |
86,744 |
$4.72M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
323,598 |
12,043 |
$16.37M |
| 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) |
27,912 |
1,155 |
$735K |
| T1005 |
Respite care services, up to 15 minutes |
17,013 |
826 |
$574K |