MCLAIN ENTERPRISES, INC
NPI: 1104048271
· TUCSON, AZ 85711
· Home Health Agency
· NPI assigned 05/02/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$14.68M
Total Medicaid Paid
Provider Details
| Authorized Official | MCLAIN, TROY (PRESIDENT) |
| NPI Enumeration Date | 05/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
14,552 |
$1.88M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
59,208 |
6,536 |
$14.32M |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
2,601 |
1,277 |
$202K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
964 |
151 |
$155K |