Medicaid Provider Spending

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

PRIORITY HEALTHCARE PAS

NPI: 1396861696 · KEMAH, TX 77565 · Home Health Agency · NPI assigned 03/21/2007

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.

$4.87M
Total Medicaid Paid
84,278
Total Claims
3,777
Beneficiary Records
1
Codes Billed
2020-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIRELA, MARIBEL (OWNER)
NPI Enumeration Date03/21/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,272 $182K
2021 16,832 $952K
2022 19,421 $1.08M
2023 23,872 $1.39M
2024 20,881 $1.27M

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
S5125 Attendant care services; per 15 minutes 84,278 3,777 $4.87M