Medicaid Provider Spending

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

SMART CHOICE CAREGIVERS INC

NPI: 1467007088 · HOUSTON, TX 77029 · In Home Supportive Care Agency · NPI assigned 08/09/2019

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

97% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$6.64M
Total Medicaid Paid
50,960
Total Claims
4,573
Beneficiaries
2
Codes Billed
2020-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, ROSA (CEO)
NPI Enumeration Date08/09/2019

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, ROSA

ProviderCityStateTotal Paid
CENTRO DE SALUD FAMILIAR DR. JULIO PALMIERI FERRI INC. ARROYO PR $2.76M
CENTRO DE SALUD FAMILIAR DR. JULIO PALMIERI FERRI INC. ARROYO PR $1.60M
BIENESTAR HEALTH CLINIC LAREDO TX $758K
CARIBBEAN DENTAL CLINIC SAN JUAN PR $87K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 921 $111K
2021 8,629 $909K
2022 11,476 $1.69M
2023 14,114 $1.87M
2024 15,820 $2.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 47,005 4,372 $6.44M
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) 3,955 201 $194K