Medicaid Provider Spending

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

ESTRELLA PHC SERVICES

NPI: 1598908196 · MCALLEN, TX 78504 · In Home Supportive Care Agency · NPI assigned 04/13/2009

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

91% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$23.98M
Total Medicaid Paid
456,088
Total Claims
18,224
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHAVEZ, DENNIS (PRESIDENT)
NPI Enumeration Date04/13/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,328 $810K
2019 8,481 $1.29M
2020 52,064 $2.27M
2021 122,634 $5.51M
2022 97,317 $4.89M
2023 93,135 $4.64M
2024 78,129 $4.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 402,098 15,401 $21.75M
T1005 Respite care services, up to 15 minutes 34,744 2,049 $1.73M
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) 19,246 774 $501K