PBJ ENTERPRISES LLC
NPI: 1093099764
· EDINBURG, TX 78542
· Adult Day Care Clinic/Center
· NPI assigned 09/29/2011
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.
$2.18M
Total Medicaid Paid
Provider Details
| Authorized Official | DAVILA, CINDY (MANAGING MEMBER) |
| NPI Enumeration Date | 09/29/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
541 |
$112K |
| 2021 |
3,006 |
$522K |
| 2022 |
2,831 |
$492K |
| 2023 |
2,631 |
$409K |
| 2024 |
3,829 |
$643K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5101 |
Day care services, adult; per half day |
12,838 |
3,268 |
$2.18M |