Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CANVI GROUP, LLC

NPI: 1144685710 · PHARR, TX 78577 · Home Health Agency · NPI assigned 12/23/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$20.10M
Total Medicaid Paid
419,473
Total Claims
15,385
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCANTU, JULIO (ADMINISTRATOR)
NPI Enumeration Date12/23/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 979 $269K
2019 1,198 $180K
2020 22,012 $901K
2021 71,361 $2.94M
2022 90,606 $4.17M
2023 113,372 $5.27M
2024 119,945 $6.38M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 372,609 13,311 $18.41M
T1005 Respite care services, up to 15 minutes 35,018 1,595 $1.33M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 11,846 479 $355K