M-PRO ENTERPRISES, LLC
NPI: 1093957623
· PHARR, TX 78577
· Custodial Care Facility
· NPI assigned 03/27/2009
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.
$2.72M
Total Medicaid Paid
Provider Details
| Authorized Official | GOMEZ, YESENIA (OWNER/MANAGER) |
| NPI Enumeration Date | 03/27/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
516 |
$106K |
| 2021 |
3,737 |
$581K |
| 2022 |
3,982 |
$629K |
| 2023 |
4,128 |
$606K |
| 2024 |
4,875 |
$793K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5101 |
Day care services, adult; per half day |
17,238 |
3,932 |
$2.72M |