Medicaid Provider Spending

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

AMORCITOS PHC, LLC

NPI: 1184268799 · EDINBURG, TX 78542 · Home Modifications Contractor · NPI assigned 11/06/2019

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

98% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$2.59M
Total Medicaid Paid
53,161
Total Claims
1,960
Beneficiaries
2
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEPULVEDA, RAUL (OWNER)
NPI Enumeration Date11/06/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 715 $23K
2021 11,749 $481K
2022 13,940 $673K
2023 13,809 $685K
2024 12,948 $724K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 51,877 1,899 $2.53M
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) 1,284 61 $53K