Medicaid Provider Spending

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

HERITAGE WEST ADHC, LLC

NPI: 1396908828 · FRESNO, CA 93711 · Adult Day Care Clinic/Center · NPI assigned 07/03/2008

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

100% of spending on code S5102 with only 2 total codes billed. Highly concentrated billing profile.

$3.44M
Total Medicaid Paid
211,030
Total Claims
11,570
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialISOUNTS, MARINA (PRESIDENT)
NPI Enumeration Date07/03/2008

Related Entities

Other providers sharing the same authorized official: ISOUNTS, MARINA

ProviderCityStateTotal Paid
HEALTH GUARD ADULT DAY HEALTH CARE NORTH HOLLYWOOD CA $11.17M
BELMAR VILLA, LLC FRESNO CA $9.99M
HEALTH GUARD INLAND, LLC UPLAND CA $3.94M
ABBEY ROAD VILLA, LLC SYLMAR CA $2.12M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31,288 $663K
2019 30,604 $475K
2020 32,266 $509K
2021 39,119 $611K
2022 33,063 $513K
2023 30,434 $408K
2024 14,256 $264K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 210,927 11,533 $3.44M
H2000 Comprehensive multidisciplinary evaluation 103 37 $1K