Medicaid Provider Spending

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

NPI: 1528361649 · PALMVIEW, TX 78572 · Adult Day Care Clinic/Center · NPI assigned 12/11/2010

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

100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.

$1.54M
Total Medicaid Paid
10,482
Total Claims
2,281
Beneficiaries
1
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, CARMEN (ADMINISTRATOR)
NPI Enumeration Date12/11/2010

Related Entities

Other providers sharing the same authorized official: RODRIGUEZ, CARMEN

ProviderCityStateTotal Paid
SECCION A NINOS CON NECESIDADES ESPECIALES ARECIBO PR $294K
SECCION A NINO CON NECESIDADES ESPECIALES CAGUAS PR $129K
SECCION A NINOS CON NECESIDADES ESPECIALES MAYAGUEZ PR $16K
SECCION A NINOS CON NECESIDADES ESPECIALES BAYAMON PR $8K
CENTRO DE DIAGNOSTICO Y TRATAMIENTO LAS PIEDRAS LAS PIEDRAS PR $4K
CENTRO DE DIAGNOSTICO Y TRATAMIENTO LAS PIEDRAS LAS PIEDRAS PR $51.20

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 546 $78K
2021 2,839 $395K
2022 2,099 $314K
2023 2,291 $327K
2024 2,707 $430K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5101 Day care services, adult; per half day 10,482 2,281 $1.54M