Medicaid Provider Spending

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

NPI: 1699297895 · LAREDO, TX 78045 · Personal Care Attendant · NPI assigned 07/10/2017

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

98% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$5.76M
Total Medicaid Paid
100,406
Total Claims
3,628
Beneficiaries
2
Codes Billed
2020-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHERRERA, JACQUELINE (OWNER)
NPI Enumeration Date07/10/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 5,586 $279K
2021 15,937 $816K
2022 23,065 $1.37M
2023 24,659 $1.42M
2024 31,159 $1.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 96,272 3,422 $5.62M
T1005 Respite care services, up to 15 minutes 4,134 206 $140K