Providers
All 101 in TX
PALLIATIVE PLUS LLC
NPI 1760793814, organization, San Antonio, TX, Hospice Care, Community Based
3
Evidence tier
network structure with a list link
- Part of provider network D1-00069, ranked 69 nationally.
score 65 of 100, rank 1357, $99K at stake
Provider networks
D1-00069 ranked 6955 providers around Dallas, TX: 17 hospices, 31 home health agencies, 7 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PALLIATIVE PLUS LLC (also PALOMA HOSPICE AND PALLIATIVE CARE) |
| Type | Organization |
| Status | Active |
| NPI issued | June 23, 2010, last updated January 12, 2026 |
| Practice location | 8438 FOUNTAIN CIR, San Antonio, TX 78229-2387, 210-988-1680 |
| Authorized official | SATHYAJITH NAIR (Owner) |
| Specialties | Hospice Care, Community Based (251G00000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T2046 | Medicaid service code | $134K | 100% | $3K | $4K (top 5% from $6K) | too few months to rank |
In this area
101 providers in Bexar County, TX carry an indicator in the public record, with $41.9M at stake between them. The most common is part of a provider network, on 72 of them, followed by more hours than a day holds on 22. 5 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | RICHARD MARQUEZ San Antonio, TX, ranked 434 | $202 |
|
| 1 | LUCINDA PEREZ San Antonio, TX, ranked 521 | $0 |
|
| 1 | TOX MANAGEMENT LLC San Antonio, TX, ranked 528 | $0 |
|
| 1 | TRI-STATE TOXICOLOGY LLC San Antonio, TX, ranked 540 | $0 |
|
| 1 | FLEET AMBULANCE SERVICE, INC San Antonio, TX, ranked 602 | $0 |
|
| 3 | AMERICAN MEDICAL HOME HEALTH SERVICES - SAN ANTONIO LLC San Antonio, TX, ranked 810 | $17.1M |
|
| 3 | ECHO HOSPICE LLC San Antonio, TX, ranked 1003 | $1.5M |
|
| 3 | LOVING CARE HOME HEALTH, LLC San Antonio, TX, ranked 1117 | $608K |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.