Medicaid Provider Spending

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

M & R MANAGEMENT LLC

NPI: 1447542386 · LAREDO, TX 78041 · Respite Care · NPI assigned 05/11/2011

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

94% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$25.35M
Total Medicaid Paid
480,513
Total Claims
18,921
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEAL, MARISELA (OWNER)
NPI Enumeration Date05/11/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,022 $885K
2019 2,682 $1.21M
2020 48,020 $2.22M
2021 102,534 $4.52M
2022 111,704 $5.42M
2023 116,015 $5.52M
2024 97,536 $5.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 428,685 16,683 $23.92M
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) 36,323 1,322 $822K
T1005 Respite care services, up to 15 minutes 15,505 916 $611K