Medicaid Provider Spending

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

MONTALVO HOME CARE COMPANY

NPI: 1548785983 · BROWNSVILLE, TX 78520 · Developmentally Disabled Services Day Training Agency · NPI assigned 08/07/2017

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

92% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$2.67M
Total Medicaid Paid
59,035
Total Claims
2,201
Beneficiaries
2
Codes Billed
2020-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMONTALVO, MELISSA (ADMINISTRATOR)
NPI Enumeration Date08/07/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,508 $52K
2021 13,249 $470K
2022 14,083 $657K
2023 15,842 $741K
2024 14,353 $751K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 51,668 1,882 $2.45M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 7,367 319 $217K