Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

LA Casa De Susy Adult Day Care, LLC

LA Casa De Susy Adult Day Care, LLC was paid $2.13M by Medicaid between Aug 2020 and Dec 2024, across 1 billing code. Its largest line is S5101, Day care services, adult; per half day — 100% of everything it billed.

33Billing provider infoLA CASA DE SUSY ADULT DAY CARE, LLC
PHARR, TX 78577
33aNPI1548467301assigned 06/27/2007
28Total paid$2.13M
24GClaims14,472
24DCodes billed1
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers

Next to other Adult Day Care Clinic/Center providers in Texas

Rank by total paid#45 of 301
Median peer was paid$1.11M
This provider vs. median1.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020480$65K
20213,390$451K
20223,434$515K
20233,388$488K
2024incomplete3,780$613K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5101 Day care services, adult; per half day 100% 14,472 3,132 $2.13M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialLEAL, JOSE (PRESIDENT)
Same official

Other billing entities under LEAL, JOSE

Full network →
ProviderLocationPaid
Reliable D M E LLCRio Grande City, TX$7.66M
Reliable HCS, LLCRio Grande City, TX$1.27M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.