ST MICHAELS ADULT DAY CARE LLC
NPI: 1073051108
· PHARR, TX 78577
· Adult Day Care Clinic/Center
· NPI assigned 02/09/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.
$1.37M
Total Medicaid Paid
Provider Details
| Authorized Official | TOSTADO, MARIO (MEMBER/OWNER) |
| NPI Enumeration Date | 02/09/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
820 |
$75K |
| 2021 |
3,806 |
$339K |
| 2022 |
4,213 |
$314K |
| 2023 |
3,908 |
$269K |
| 2024 |
4,351 |
$372K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5101 |
Day care services, adult; per half day |
17,098 |
2,428 |
$1.37M |