PALM VALLEY HEALTH CARE, INC.
NPI: 1932102852
· EDINBURG, TX 78539
· Personal Care Attendant
· NPI assigned 05/24/2005
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$9.57M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CANALES, IDALIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38,483 |
$1.75M |
| 2019 |
42,242 |
$1.85M |
| 2020 |
45,896 |
$2.14M |
| 2021 |
84,039 |
$3.84M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
199,564 |
7,736 |
$9.20M |
| T1005 |
Respite care services, up to 15 minutes |
5,445 |
320 |
$211K |
| 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) |
5,651 |
229 |
$164K |