Medicaid Provider Spending

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

APC HOME HEALTH SERVICE, INC

NPI: 1558573550 · EL PASO, TX 79907 · Respite Care · NPI assigned 05/04/2007

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

100% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$66.57M
Total Medicaid Paid
1,162,612
Total Claims
50,814
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, MANUEL (RN)
NPI Enumeration Date05/04/2007

Related Entities

Other providers sharing the same authorized official: GARCIA, MANUEL

ProviderCityStateTotal Paid
APC HOME HEALTH SERVICE, INC. HARLINGEN TX $97.58M
APC HOME HEALTH SERVICE, INC. HARLINGEN TX $5.72M
T.L.C. ADULT DAY CARE CENTERS, INC. CORPUS CHRISTI TX $1.57M
TLC ADULT DAY CARE CENTERS, INC. EAGLE PASS TX $572K
MANUEL A. GARCIA MDPA MIAMI FL $225K
MANUEL E GARCIA MD PA MIAMI FL $175K
TLC ADULT DAY CARE CENTERS, INC. CORPUS CHRISTI TX $59K
MANUEL GARCIA PROSTHETICS LAB INC STRONGSVILLE OH $9K
APC HOME HEALTH SERVICE, INC HARLINGEN TX $5K
TLC ADULT DAY CARE CENTERS, INC. EAGLE PASS TX $853.83

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 77,942 $5.41M
2019 119,185 $5.78M
2020 149,075 $7.55M
2021 198,948 $10.51M
2022 214,748 $12.21M
2023 216,435 $12.65M
2024 186,279 $12.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 1,157,739 50,512 $66.34M
T1005 Respite care services, up to 15 minutes 4,873 302 $230K