RESPITE CARE SERVICES OF TEXAS, LLC.
NPI: 1942782180
· EDINBURG, TX 78539
· Personal Care Attendant
· NPI assigned 09/04/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$7.56M
Total Medicaid Paid
Provider Details
| Authorized Official | FLORES, MERCY (OWNER) |
| NPI Enumeration Date | 09/04/2018 |
Related Entities
Other providers sharing the same authorized official: FLORES, MERCY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,620 |
$157K |
| 2021 |
17,651 |
$815K |
| 2022 |
32,241 |
$1.61M |
| 2023 |
47,538 |
$2.38M |
| 2024 |
47,820 |
$2.59M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
133,820 |
4,578 |
$6.88M |
| T1005 |
Respite care services, up to 15 minutes |
13,732 |
610 |
$643K |
| 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) |
1,318 |
61 |
$37K |