Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › PALMVIEW › SIMCHA, INC.

SIMCHA, INC.

NPI: 1457429169 · PALMVIEW, TX 78572 · Adult Day Care Clinic/Center · NPI assigned 12/01/2006

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

100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.

$1.61M
Total Medicaid Paid
11,659
Total Claims
2,442
Beneficiaries
1
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVELA, JOSE (DIRECTOR)
NPI Enumeration Date12/01/2006

Related Entities

Other providers sharing the same authorized official: VELA, JOSE

ProviderCityStateTotal Paid
VHS BROWNSVILLE HOSPITAL COMPANY LLC BROWNSVILLE TX $14.04M
MORON VELA INC MISSION TX $4.20M
SIMCHA, INC. BROWNSVILLE TX $1.81M
GSE HEALTH CARE INC. RAYMONDVILLE TX $880K
GSE HEALTH CARE INC. HARLINGEN TX $824K
GSE HEALTH CARE INC. EDCOUCH TX $634K
ONE MEDICAL HOME CARE, LLC SAN BENITO TX $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 518 $69K
2021 3,816 $515K
2022 2,817 $410K
2023 1,886 $270K
2024 2,622 $350K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5101 Day care services, adult; per half day 11,659 2,442 $1.61M