Medicaid Provider Spending

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

HEARTS OF TEXAS PROVIDER SERVICES, LLC

NPI: 1619499522 · PHARR, TX 78577 · Developmentally Disabled Services Day Training Agency · NPI assigned 07/12/2017

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

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$1.12M
Total Medicaid Paid
24,576
Total Claims
995
Beneficiaries
1
Codes Billed
2021-06
First Month
2023-09
Last Month

Provider Details

Authorized OfficialLOPEZ, DANA (ADMINISTRATOR)
NPI Enumeration Date07/12/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 5,887 $215K
2022 11,917 $594K
2023 6,772 $312K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 24,576 995 $1.12M