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LA ESPERANZA ADULT DAY HEALTH CARE CENTER, INC.
LA ESPERANZA ADULT DAY HEALTH CARE CENTER, INC.
NPI: 1023148483
· LA FERIA, TX 78559
· Adult Day Care Clinic/Center
· NPI assigned 03/06/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5101 with only 2 total codes billed. Highly concentrated billing profile.
$1.46M
Total Medicaid Paid
Provider Details
| Authorized Official | TAMEZ, PAM (OWNER) |
| NPI Enumeration Date | 03/06/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
53 |
$3K |
| 2020 |
396 |
$47K |
| 2021 |
2,434 |
$269K |
| 2022 |
2,075 |
$259K |
| 2023 |
1,642 |
$210K |
| 2024 |
4,555 |
$670K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5101 |
Day care services, adult; per half day |
11,109 |
2,472 |
$1.46M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
46 |
21 |
$0.00 |