Agency
Saint Michael's Primary Health Care,llc.
Saint Michael's Primary Health Care,llc. was paid $17.68M by Medicaid between Mar 2020 and Oct 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 93% of everything it billed.
33Billing provider infoSAINT MICHAEL'S PRIMARY HEALTH CARE,LLC.
MISSION, TX 78572
MISSION, TX 78572
33aNPI1891284865assigned 05/05/2018
33bProvider typeIn Home Supportive Care Agency
28Total paid$17.68M
24GClaims368,523
24DCodes billed3
24AFirst – last monthMar 2020 – Oct 2024
Compared with peers
Next to other In Home Supportive Care Agency providers in Texas
Rank by total paid#24 of 163
Median peer was paid$2.57M
This provider vs. median6.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration93% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 11,329 | $478K | |
| 2021 | 55,919 | $2.38M | |
| 2022 | 102,597 | $4.83M | |
| 2023 | 111,934 | $5.27M | |
| 2024incomplete | 86,744 | $4.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 93% | 323,598 | 12,043 | $16.37M |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 4.2% | 27,912 | 1,155 | $735K |
| T1005 | Respite care services, up to 15 minutes | 3.2% | 17,013 | 826 | $574K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCHAPA, SANJUANITA (ADMIN)