Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

REALITY HEALTH CARE, INC.

NPI: 1023270709 · FLOWER MOUND, TX 75022 · Home Health Agency · NPI assigned 06/25/2008

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$3.19M
Total Medicaid Paid
60,091
Total Claims
2,994
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIENI, MERCY (DON/ADMIN)
NPI Enumeration Date06/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 560 $248K
2019 1,217 $205K
2020 5,218 $223K
2021 7,983 $355K
2022 14,802 $695K
2023 15,494 $849K
2024 14,817 $618K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 60,091 2,994 $3.19M