Clinic
LA Esperanza Adult Day Health Care Center, INC.
LA Esperanza Adult Day Health Care Center, INC. was paid $1.46M by Medicaid between Oct 2019 and Dec 2024, across 2 billing codes. Its largest line is S5101, Day care services, adult; per half day — 100% of everything it billed.
33Billing provider infoLA ESPERANZA ADULT DAY HEALTH CARE CENTER, INC.
LA FERIA, TX 78559
LA FERIA, TX 78559
33aNPI1023148483assigned 03/06/2007
33bProvider typeAdult Day Care Clinic/Center
28Total paid$1.46M
24GClaims11,155
24DCodes billed2
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in Texas
Rank by total paid#100 of 301
Median peer was paid$1.11M
This provider vs. median1.3×
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 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 53 | $3K | |
| 2020 | 396 | $47K | |
| 2021 | 2,434 | $269K | |
| 2022 | 2,075 | $259K | |
| 2023 | 1,642 | $210K | |
| 2024incomplete | 4,555 | $670K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5101 | Day care services, adult; per half day | 100% | 11,109 | 2,472 | $1.46M |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 0% | 46 | 21 | $0.00 |
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 officialTAMEZ, PAM (OWNER)