Medicaid Provider Spending

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

EXCEL PRIMARY HOME CARE LLC

NPI: 1336682541 · HARGILL, TX 78549 · Personal Care Attendant · NPI assigned 11/21/2016

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.

$1.12M
Total Medicaid Paid
29,867
Total Claims
1,077
Beneficiaries
1
Codes Billed
2020-07
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCANTU, JOSE (ADMINISTRATOR)
NPI Enumeration Date11/21/2016

Related Entities

Other providers sharing the same authorized official: CANTU, JOSE

ProviderCityStateTotal Paid
MAINLAND PULMONARY ASSOCIATES PLLC TEXAS CITY TX $86K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,996 $60K
2021 8,395 $285K
2022 7,082 $271K
2023 9,185 $351K
2024 3,209 $153K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 29,867 1,077 $1.12M