Medicaid Provider Spending

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

JOSEPHINE GARCIA

NPI: 1457705329 · SAN ANTONIO, TX 78227 · Personal Care Attendant · NPI assigned 04/18/2016

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

96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$12.11M
Total Medicaid Paid
207,638
Total Claims
8,649
Beneficiaries
3
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, JOSEPHINE (ADMINISTRATOR)
NPI Enumeration Date04/18/2016

Related Entities

Other providers sharing the same authorized official: GARCIA, JOSEPHINE

ProviderCityStateTotal Paid
ESPERANZA HOME HEALTH CARE HOSPICE, INC. BUENA VISTA NM $2.56M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 9,197 $477K
2021 42,536 $2.17M
2022 48,910 $2.87M
2023 52,337 $3.00M
2024 54,658 $3.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 195,550 7,948 $11.56M
T1005 Respite care services, up to 15 minutes 10,869 634 $466K
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) 1,219 67 $77K