Medicaid Provider Spending

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

GDM PRIMARY HOME CARE

NPI: 1083861637 · LAREDO, TX 78041 · Home Health Agency · NPI assigned 08/26/2008

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.

$6.92M
Total Medicaid Paid
85,518
Total Claims
4,637
Beneficiaries
1
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTEMAYOR, JORGE (ADMINISTRATOR)
NPI Enumeration Date08/26/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,845 $236K
2019 5,844 $633K
2020 4,753 $573K
2021 16,259 $1.16M
2022 16,490 $1.19M
2023 19,454 $1.48M
2024 20,873 $1.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 85,518 4,637 $6.92M