P.A.C.E. HEALTH CARE, INC.
NPI: 1902816788
· WESLACO, TX 78596
· In Home Supportive Care Agency
· NPI assigned 08/08/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$14.68M
Total Medicaid Paid
Provider Details
| Authorized Official | CAVAZOS, THELMA (ADMINISTRATOR) |
| NPI Enumeration Date | 08/08/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,146 |
$662K |
| 2019 |
5,236 |
$674K |
| 2020 |
35,438 |
$1.64M |
| 2021 |
71,333 |
$3.42M |
| 2022 |
55,393 |
$2.91M |
| 2023 |
52,691 |
$2.77M |
| 2024 |
42,169 |
$2.61M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
242,813 |
10,078 |
$13.91M |
| 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) |
12,470 |
542 |
$401K |
| T1005 |
Respite care services, up to 15 minutes |
8,123 |
462 |
$374K |