Medicaid Provider Spending

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

NICE VIEW HOME CARE,LLC.

NPI: 1497307607 · EDINBURG, TX 78541 · Personal Care Attendant · NPI assigned 07/09/2019

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

98% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$5.28M
Total Medicaid Paid
119,915
Total Claims
4,364
Beneficiaries
2
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTALVO, CESARIO (CEO)
NPI Enumeration Date07/09/2019

Related Entities

Other providers sharing the same authorized official: MONTALVO, CESARIO

ProviderCityStateTotal Paid
GLORIA A. MONTALVO EDINBURG TX $4.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 11,905 $419K
2022 30,260 $1.25M
2023 37,018 $1.58M
2024 40,732 $2.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 118,208 4,275 $5.18M
T1005 Respite care services, up to 15 minutes 1,707 89 $94K