MARTEL HEALING COMMUNITY CARE LLC
NPI: 1699317891
· CLEBURNE, TX 76033
· Respite Care
· NPI assigned 10/09/2019
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.
$3.35M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,431 |
$98K |
| 2022 |
8,764 |
$654K |
| 2023 |
15,660 |
$1.21M |
| 2024 |
16,635 |
$1.39M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
42,490 |
2,456 |
$3.35M |