Medicaid Provider Spending

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

APC HOME HEALTH SERVICE, INC.

NPI: 1447462445 · HARLINGEN, TX 78550 · Nursing Care Agency · NPI assigned 05/04/2007

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.

$5.72M
Total Medicaid Paid
123,255
Total Claims
5,591
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, MANUEL (RN)
NPI Enumeration Date05/04/2007

Related Entities

Other providers sharing the same authorized official: GARCIA, MANUEL

ProviderCityStateTotal Paid
APC HOME HEALTH SERVICE, INC. HARLINGEN TX $97.58M
APC HOME HEALTH SERVICE, INC EL PASO TX $66.57M
T.L.C. ADULT DAY CARE CENTERS, INC. CORPUS CHRISTI TX $1.57M
TLC ADULT DAY CARE CENTERS, INC. EAGLE PASS TX $572K
MANUEL A. GARCIA MDPA MIAMI FL $225K
MANUEL E GARCIA MD PA MIAMI FL $175K
TLC ADULT DAY CARE CENTERS, INC. CORPUS CHRISTI TX $59K
MANUEL GARCIA PROSTHETICS LAB INC STRONGSVILLE OH $9K
APC HOME HEALTH SERVICE, INC HARLINGEN TX $5K
TLC ADULT DAY CARE CENTERS, INC. EAGLE PASS TX $853.83

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,245 $487K
2019 14,758 $595K
2020 14,959 $622K
2021 16,611 $698K
2022 22,010 $1.05M
2023 22,183 $1.01M
2024 23,489 $1.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 123,255 5,591 $5.72M