Medicaid Provider Spending

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

LANDO, INC.

NPI: 1346354560 · ALICE, TX 78332 · Home Health Agency · NPI assigned 08/17/2006

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

98% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$53.34M
Total Medicaid Paid
921,796
Total Claims
36,972
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, RUBEN (ADMINISTRATOR)
NPI Enumeration Date08/17/2006

Related Entities

Other providers sharing the same authorized official: GARCIA, RUBEN

ProviderCityStateTotal Paid
GARCIA MEDICAL CLINIC LLC DEFUNIAK SPRINGS FL $191K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 32,118 $3.32M
2019 70,114 $3.61M
2020 111,573 $5.83M
2021 195,848 $10.24M
2022 180,812 $10.62M
2023 173,034 $9.69M
2024 158,297 $10.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 893,949 35,148 $52.03M
T1005 Respite care services, up to 15 minutes 20,399 1,470 $1.06M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 7,448 354 $243K