Medicaid Provider Spending

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

MI VALLE HEALTH CARE, LLC

NPI: 1518191535 · MCALLEN, TX 78504 · Personal Care Attendant · NPI assigned 05/05/2009

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.

$2.48M
Total Medicaid Paid
47,040
Total Claims
1,756
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCLARKE, MELODY (ALTERNATE ADMINISTRATOR)
NPI Enumeration Date05/05/2009

Related Entities

Other providers sharing the same authorized official: CLARKE, MELODY

ProviderCityStateTotal Paid
ONLY LOVE HOSPICE, LLC MCALLEN TX $2.53M
NEW BEGINNINGS AND ENDINGS LLC HOUSTON TX $128K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 749 $38K
2019 264 $13K
2020 4,428 $205K
2021 12,886 $603K
2022 10,974 $580K
2023 9,171 $512K
2024 8,568 $527K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 47,040 1,756 $2.48M