ALL-VALLEY PRIMARY HOME CARE INC
NPI: 1952302739
· PHARR, TX 78577
· Personal Care Attendant
· NPI assigned 08/03/2005
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.
$27.42M
Total Medicaid Paid
Provider Details
| Authorized Official | GAZCA, FELIPE (ADMINISTRATOR) |
| NPI Enumeration Date | 08/03/2005 |
Related Entities
Other providers sharing the same authorized official: GAZCA, FELIPE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,537 |
$1.38M |
| 2019 |
15,045 |
$1.53M |
| 2020 |
48,201 |
$2.25M |
| 2021 |
108,938 |
$5.20M |
| 2022 |
110,464 |
$5.73M |
| 2023 |
108,371 |
$5.57M |
| 2024 |
98,789 |
$5.76M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
460,807 |
17,933 |
$26.07M |
| 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) |
24,201 |
1,046 |
$747K |
| T1005 |
Respite care services, up to 15 minutes |
13,337 |
814 |
$599K |