Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Clara Selene Pena

Clara Selene Pena was paid $2.15M by Medicaid between Jun 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 infoCLARA SELENE PENA
DONNA, TX 78537
33aNPI1083928634assigned 08/05/2010
28Total paid$2.15M
24GClaims16,111
24DCodes billed1
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers

Next to other Adult Day Care Clinic/Center providers in Texas

Rank by total paid#44 of 301
Median peer was paid$1.11M
This provider vs. median1.9×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20201,112$135K
20214,416$588K
20223,934$546K
20233,280$405K
2024incomplete3,369$480K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5101 Day care services, adult; per half day 100% 16,111 3,484 $2.15M

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 officialORTIZ, CARLOS (DIRECTOR)
Same official

Other billing entities under ORTIZ, CARLOS

Full network →
ProviderLocationPaid
Laboratorio Clinico Salinas INCSalinas, PR$296K
Central Florida Dental Group, INC.Clermont, FL$116K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.