Medicaid Provider Spending

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

PALOMA PRIMARY HOME CARE

NPI: 1336528991 · PALMVIEW, TX 78572 · Personal Care Attendant · NPI assigned 05/28/2015

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.

$2.12M
Total Medicaid Paid
43,476
Total Claims
1,585
Beneficiaries
1
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCANALES, ELIA (OWNER, ADMINISTRATOR)
NPI Enumeration Date05/28/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,002 $44K
2021 7,827 $339K
2022 13,902 $671K
2023 11,589 $535K
2024 9,156 $528K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 43,476 1,585 $2.12M