Medicaid Provider Spending

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

MIRASOL PRIMARY HOME CARE LLC

NPI: 1083756720 · MISSION, TX 78572 · Home Health Agency · NPI assigned 02/12/2007

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

99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$13.34M
Total Medicaid Paid
251,790
Total Claims
9,819
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBALDERAS, YOLANDA (PRESIDENT)
NPI Enumeration Date02/12/2007

Related Entities

Other providers sharing the same authorized official: BALDERAS, YOLANDA

ProviderCityStateTotal Paid
MIRASOL HEALTH SERVICES, INC. MISSION TX $3.89M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,454 $607K
2019 2,173 $516K
2020 21,302 $959K
2021 59,528 $2.75M
2022 56,728 $2.76M
2023 56,948 $2.78M
2024 52,657 $2.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 247,790 9,612 $13.15M
T1005 Respite care services, up to 15 minutes 4,000 207 $189K