Medicaid Provider Spending

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

DNA HEALTH PROVIDER LLC

NPI: 1225578115 · RIO GRANDE CITY, TX 78582 · Personal Care Attendant · NPI assigned 02/27/2017

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

95% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$6.47M
Total Medicaid Paid
128,205
Total Claims
4,640
Beneficiaries
2
Codes Billed
2018-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, DIANA (OWNER/PRESIDENT)
NPI Enumeration Date02/27/2017

Related Entities

Other providers sharing the same authorized official: LOPEZ, DIANA

ProviderCityStateTotal Paid
S M HASNAYEN MEDICAL OFFICE PLLC JAMAICA NY $939K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 671 $53K
2019 3,037 $238K
2020 9,159 $394K
2021 21,017 $927K
2022 29,898 $1.50M
2023 32,419 $1.61M
2024 32,004 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 121,205 4,269 $6.16M
T1005 Respite care services, up to 15 minutes 7,000 371 $314K