Clinic
ST Michaels Adult Day Care LLC
ST Michaels Adult Day Care LLC was paid $1.37M by Medicaid between Aug 2020 and Dec 2024, across 1 billing code. Its largest line is S5101, Day care services, adult; per half day — 100% of everything it billed.
33Billing provider infoST MICHAELS ADULT DAY CARE LLC
PHARR, TX 78577
PHARR, TX 78577
33aNPI1073051108assigned 02/09/2017
33bProvider typeAdult Day Care Clinic/Center
28Total paid$1.37M
24GClaims17,098
24DCodes billed1
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in Texas
Rank by total paid#113 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
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 | |
|---|---|---|---|
| 2020 | 820 | $75K | |
| 2021 | 3,806 | $339K | |
| 2022 | 4,213 | $314K | |
| 2023 | 3,908 | $269K | |
| 2024incomplete | 4,351 | $372K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5101 | Day care services, adult; per half day | 100% | 17,098 | 2,428 | $1.37M |
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 officialTOSTADO, MARIO (MEMBER/OWNER)