Mclain Enterprises, INC

Mclain Enterprises, INC was paid $14.68M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 98% of everything it billed.

33Billing provider infoMCLAIN ENTERPRISES, INC
TUCSON, AZ 85711

33aNPI1104048271assigned 05/02/2007

33bProvider typeHome Health Agency

28Total paid$14.68M

24GClaims62,773

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Arizona

Rank by total paid#29 of 179

Median peer was paid$716K

This provider vs. median21×

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 Concentration98% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	5,211	$2.10M
2019	4,757	$2.02M
2020	4,401	$2.09M
2021	3,905	$1.85M
2022	9,531	$2.18M
2023	20,416	$2.56M
2024incomplete	14,552	$1.88M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	98%	59,208	6,536	$14.32M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1.4%	2,601	1,277	$202K
S5150	Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes	1.1%	964	151	$155K

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 officialMCLAIN, TROY (PRESIDENT)