Medicaid Provider Spending

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

NPI: 1316245319 · WORCESTER, MA 01608 · Case Manager/Care Coordinator · NPI assigned 03/01/2011

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

94% of spending on code S5140 with only 3 total codes billed. Highly concentrated billing profile.

$43.79M
Total Medicaid Paid
328,132
Total Claims
19,761
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOMEZ, JUAN (PRESIDENT AND CEO)
NPI Enumeration Date03/01/2011

Related Entities

Other providers sharing the same authorized official: GOMEZ, JUAN

ProviderCityStateTotal Paid
LOVIN CARE HOME HEALTH INC CAPE CORAL FL $7.19M
ARCADIA NURSING HOME INC CAPE CORAL FL $1.34M
VALLEY INTENSIVISTS, PULMONOLOGISTS AND SLEEP SPECIALISTS, P.L.L.C. MCALLEN TX $974K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,412 $5.23M
2019 20,282 $5.60M
2020 26,100 $6.30M
2021 24,920 $6.34M
2022 65,261 $6.10M
2023 84,562 $6.85M
2024 90,595 $7.37M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 311,747 18,169 $41.25M
H2019 Therapeutic behavioral services, per 15 minutes 15,765 1,492 $2.48M
T1027 Family training and counseling for child development, per 15 minutes 620 100 $66K