Medicaid Provider Spending

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

PLUS HEALTH CARE AGENCY LLC.

NPI: 1487056909 · LAS VEGAS, NV 89121 · Personal Care Attendant · NPI assigned 09/17/2014

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$3.50M
Total Medicaid Paid
34,321
Total Claims
3,183
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialESCOBAR-CASALES, FELIX (OWNER ADMINISTRATOR)
NPI Enumeration Date09/17/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,356 $501K
2019 3,813 $506K
2020 6,298 $458K
2021 5,821 $457K
2022 5,162 $445K
2023 5,184 $453K
2024 5,687 $675K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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) 34,321 3,183 $3.50M