FIRST CLASS PROVIDER SERVICES, LLC
NPI: 1942649744
· MCALLEN, TX 78501
· Nursing Care Agency
· NPI assigned 06/14/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
90% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$11.03M
Total Medicaid Paid
Provider Details
| Authorized Official | ANTU, ARIANNA (OWNER) |
| NPI Enumeration Date | 06/14/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
867 |
$281K |
| 2019 |
1,063 |
$359K |
| 2020 |
8,191 |
$768K |
| 2021 |
23,797 |
$1.56M |
| 2022 |
29,587 |
$2.09M |
| 2023 |
38,819 |
$2.58M |
| 2024 |
48,170 |
$3.38M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
119,665 |
7,078 |
$9.94M |
| T1005 |
Respite care services, up to 15 minutes |
20,370 |
1,159 |
$775K |
| 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) |
10,459 |
398 |
$307K |