Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › PHARR › LA CASA DE SUSY ADULT DAY CARE, LLC

LA CASA DE SUSY ADULT DAY CARE, LLC

NPI: 1548467301 · PHARR, TX 78577 · Adult Day Care Clinic/Center · NPI assigned 06/27/2007

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.

$2.13M
Total Medicaid Paid
14,472
Total Claims
3,132
Beneficiaries
1
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLEAL, JOSE (PRESIDENT)
NPI Enumeration Date06/27/2007

Related Entities

Other providers sharing the same authorized official: LEAL, JOSE

ProviderCityStateTotal Paid
RELIABLE D M E LLC RIO GRANDE CITY TX $7.66M
RELIABLE HCS, LLC RIO GRANDE CITY TX $1.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 480 $65K
2021 3,390 $451K
2022 3,434 $515K
2023 3,388 $488K
2024 3,780 $613K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5101 Day care services, adult; per half day 14,472 3,132 $2.13M