First Primary Home Care, INC

Hospice Care, Community Based·Harlingen, TX·NPI: 1578510137Share

Compared to Hospice Care, Community Based Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $161.0M is at the 75th percentile among 8 Hospice Care, Community Based providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$161.0M

$160,955,316

Total Claims

2.6M

Beneficiaries

121K

21.7 claims/patient

Avg Cost/Claim

$61

#641 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

First Primary Home Care, INC is a Hospice Care, Community Based provider based in Harlingen, TX. From the 2018–2024 period, this provider received $161.0M in Medicaid payments across 2.6M claims.

Why This Matters

This provider received $161.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,119 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 151% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018

$12.0M

+10%

2019

$13.3M

+25%

2020

$16.7M

+78%

2021

$29.7M

+5%

2022

$31.2M

-11%

2023

$27.8M

+9%

2024

$30.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 68% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5125Attendant care services, per 15 minSee all providers →

$109.4M

2.1M claims

$52.78

$82.34

0.6×

Normal range

S5125Normal range

Attendant care services, per 15 min

$109.4M

2.1M claims · 68.0%

Your Cost: $52.78/claim|Median: $82.34

0.6× median

T2026Specialized transportation, waiver, per tripSee all providers →

$36.8M

256K claims

$143.79

$170.05

0.8×

Normal range

T2026Normal range

Specialized transportation, waiver, per trip

$36.8M

256K claims · 22.9%

Your Cost: $143.79/claim|Median: $170.05

0.8× median

T1019Personal care services, per 15 minSee all providers →

$2.9M

89K claims

$32.70

$82.47

0.4×

Normal range

T1019Normal range

Personal care services, per 15 min

$2.9M

89K claims · 1.8%

Your Cost: $32.70/claim|Median: $82.47

0.4× median

T1005Respite care services, per 15 minutesSee all providers →

$2.9M

63K claims

$45.85

$71.40

0.6×

Normal range

T1005Normal range

Respite care services, per 15 minutes

$2.9M

63K claims · 1.8%

Your Cost: $45.85/claim|Median: $71.40

0.6× median

T2017Habilitation, residential, waiver; 15 minSee all providers →

$2.7M

43K claims

$63.02

$137.32

0.5×

Normal range

T2017Normal range

Habilitation, residential, waiver; 15 min

$2.7M

43K claims · 1.7%

Your Cost: $63.02/claim|Median: $137.32

0.5× median

97124 See all providers →

$1.8M

22K claims

$82.90

$17.78

4.7×

Top 25%

97124Top 25%

$1.8M

22K claims · 1.1%

Your Cost: $82.90/claim|Median: $17.78

4.7× median

G0100 See all providers →

$1.6M

31K claims

$53.15

$82.82

0.6×

Normal range

G0100Normal range

$1.6M

31K claims · 1.0%

Your Cost: $53.15/claim|Median: $82.82

0.6× median

H2032Activity therapy, per 15 minutesSee all providers →

$1.3M

6K claims

$209.39

$108.23

1.9×

Top 25%

H2032Top 25%

Activity therapy, per 15 minutes

$1.3M

6K claims · 0.8%

Your Cost: $209.39/claim|Median: $108.23

1.9× median

97113 See all providers →

$499K

5K claims

$96.97

$51.02

1.9×

Top 25%

97113Top 25%

$499K

5K claims · 0.3%

Your Cost: $96.97/claim|Median: $51.02

1.9× median

G0176Activity therapy (group), per sessionSee all providers →

$440K

5K claims

$80.43

$85.09

0.9×

Normal range

G0176Normal range

Activity therapy (group), per session

$440K

5K claims · 0.3%

Your Cost: $80.43/claim|Median: $85.09

0.9× median

G0648 See all providers →

$431K

36K claims

$12.01

$13.92

0.9×

Normal range

G0648Normal range

$431K

36K claims · 0.3%

Your Cost: $12.01/claim|Median: $13.92

0.9× median

S8940 See all providers →

$81K

993 claims

$81.92

$95.40

0.9×

Normal range

S8940Normal range

$81K

993 claims · 0.1%

Your Cost: $81.92/claim|Median: $95.40

0.9× median

T1002RN services, per 15 minutesSee all providers →

$39K

474 claims

$82.67

$37.42

2.2×

Top 25%

T1002Top 25%

RN services, per 15 minutes

$39K

474 claims · 0.0%

Your Cost: $82.67/claim|Median: $37.42

2.2× median

T2029Specialized transportation, waiver, per mile, extraSee all providers →

$15K

47 claims

$321.52

$141.34

2.3×

Top 25%

T2029Top 25%

Specialized transportation, waiver, per mile, extra

$15K

47 claims · 0.0%

Your Cost: $321.52/claim|Median: $141.34

2.3× median

D9999Unspecified adjunctive procedure, by reportSee all providers →

$7K

14 claims

$498.71

$37.60

13.3×

Top 5%

D9999Top 5%

Unspecified adjunctive procedure, by report

$7K

14 claims · 0.0%

Your Cost: $498.71/claim|Median: $37.60

13.3× median

G0151Physical therapy services, home health, per visitSee all providers →

$5K

55 claims

$88.69

$67.94

1.3×

Normal range

G0151Normal range

Physical therapy services, home health, per visit

$5K

55 claims · 0.0%

Your Cost: $88.69/claim|Median: $67.94

1.3× median

T2024Supported employment, waiver, per diemSee all providers →

$4K

247 claims

$16.36

$259.38

0.1×

Normal range

T2024Normal range

Supported employment, waiver, per diem

$4K

247 claims · 0.0%

Your Cost: $16.36/claim|Median: $259.38

0.1× median

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