Medicaid Provider Spending

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

R. GARCIA HEALTH SERVICES

NPI: 1467741892 · BROWNSVILLE, TX 78521 · Personal Care Attendant · NPI assigned 04/06/2011

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.

$2.64M
Total Medicaid Paid
34,114
Total Claims
1,422
Beneficiaries
1
Codes Billed
2020-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, RICHARD (ADMINISTRATOR)
NPI Enumeration Date04/06/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,280 $188K
2021 8,700 $617K
2022 7,678 $696K
2023 7,896 $611K
2024 7,560 $525K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 34,114 1,422 $2.64M