Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › DONNA › CLARA SELENE PENA

CLARA SELENE PENA

NPI: 1083928634 · DONNA, TX 78537 · Adult Day Care Clinic/Center · NPI assigned 08/05/2010

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.

$2.15M
Total Medicaid Paid
16,111
Total Claims
3,484
Beneficiaries
1
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialORTIZ, CARLOS (DIRECTOR)
NPI Enumeration Date08/05/2010

Related Entities

Other providers sharing the same authorized official: ORTIZ, CARLOS

ProviderCityStateTotal Paid
LABORATORIO CLINICO SALINAS INC SALINAS PR $296K
CENTRAL FLORIDA DENTAL GROUP, INC. CLERMONT FL $116K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,112 $135K
2021 4,416 $588K
2022 3,934 $546K
2023 3,280 $405K
2024 3,369 $480K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5101 Day care services, adult; per half day 16,111 3,484 $2.15M