Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Extreme Activities INC

Extreme Activities INC was paid $1.31M by Medicaid between Jul 2020 and Nov 2024, across 1 billing code. Its largest line is S5101, Day care services, adult; per half day — 100% of everything it billed.

33Billing provider infoEXTREME ACTIVITIES INC
DEL RIO, TX 78840
33aNPI1013074756assigned 01/02/2007
28Total paid$1.31M
24GClaims2,388
24DCodes billed1
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers

Next to other Adult Day Care Clinic/Center providers in Texas

Rank by total paid#120 of 301
Median peer was paid$1.11M
This provider vs. median1.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020132$64K
2021512$249K
2022552$303K
2023626$349K
2024incomplete566$345K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5101 Day care services, adult; per half day 100% 2,388 2,361 $1.31M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialFERNANDEZ, SAUL (DIRECTOR)
Same official

Other billing entities under FERNANDEZ, SAUL

Full network →
ProviderLocationPaid
Extreme Activities INCEagle Pass, TX$1.02M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.