Medicaid Provider Spending

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

WILSON COUNTY MEMORIAL HOSPITAL DISTRICT

NPI: 1306849153 · FLORESVILLE, TX 78114 · Home Health Agency · NPI assigned 05/24/2005

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

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$2.91M
Total Medicaid Paid
52,454
Total Claims
2,736
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGARCIA, NYDIA (ALTERNATE ADMINISTRATOR)
NPI Enumeration Date05/24/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 273 $204K
2019 4,474 $263K
2020 7,487 $319K
2021 10,663 $512K
2022 10,491 $557K
2023 10,558 $527K
2024 8,508 $530K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 52,454 2,736 $2.91M