Rosa Elia Martinez

Rosa Elia Martinez was paid $14.36M by Medicaid between Oct 2018 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 95% of everything it billed.

33Billing provider infoROSA ELIA MARTINEZ
BROWNSVILLE, TX 78521

33aNPI1194118281assigned 03/12/2015

33bProvider typeIn Home Supportive Care Agency

28Total paid$14.36M

24GClaims324,627

24DCodes billed3

24AFirst – last monthOct 2018 – Dec 2024

Compared with peers

Next to other In Home Supportive Care Agency providers in Texas

Rank by total paid#34 of 163

Median peer was paid$2.57M

This provider vs. median5.6×

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 Concentration95% 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	322	$0.00
2019	6,092	$857.50
2020	21,413	$690K
2021	58,078	$2.46M
2022	79,090	$3.20M
2023	76,876	$3.48M
2024incomplete	82,756	$4.52M

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	95%	296,547	10,853	$13.61M
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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)	3.9%	22,305	920	$567K
T1005	Respite care services, up to 15 minutes	1.2%	5,775	254	$175K

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 officialMARTINEZ, ROSA (ALT. ADMINISTRATOR/OWNER)

Same official

Other billing entities under MARTINEZ, ROSA

Full network →

Provider	Location	Paid
Laboratorio Clinico El Monte	San Juan, PR	$24K
Khulood Y. Cotta M.D.	Bell, CA	$814.08
Clinica San Judas	Bell, CA	$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.