Medicaid Provider Spending

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

MEAVE, ADAN

NPI: 1184780041 · WESLACO, TX 78596 · Personal Care Attendant · NPI assigned 12/28/2006

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

99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$6.12M
Total Medicaid Paid
101,822
Total Claims
5,274
Beneficiaries
2
Codes Billed
2018-01
First Month
2022-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,757 $1.12M
2019 16,270 $1.21M
2020 34,280 $1.54M
2021 31,748 $1.45M
2022 14,767 $796K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 100,396 5,204 $6.07M
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) 1,426 70 $54K