Medicaid Provider Spending

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

MED-CARE P.A., LLC.

NPI: 1366993925 · SUNLAND PARK, NM 88063 · Home Health Agency · NPI assigned 10/19/2016

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

95% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$19.54M
Total Medicaid Paid
298,410
Total Claims
11,667
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, MARIANA (DIRECTOR)
NPI Enumeration Date10/19/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38,642 $1.93M
2019 39,681 $1.98M
2020 40,063 $2.30M
2021 41,980 $2.65M
2022 43,067 $3.21M
2023 45,986 $3.78M
2024 48,991 $3.69M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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) 287,183 10,394 $18.62M
99509 Home visit for assistance with activities of daily living and personal care 11,227 1,273 $919K