Medicaid Provider Spending

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

SAN LORENZO ADULT PROVIDER SERVICES AND PEDIATRICS LLC

NPI: 1700287034 · EL PASO, TX 79924 · In Home Supportive Care Agency · NPI assigned 09/05/2014

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

99% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$15.09M
Total Medicaid Paid
259,093
Total Claims
11,908
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPORTILLO, MELISSA (ADMINISTRATOR)
NPI Enumeration Date09/05/2014

Related Entities

Other providers sharing the same authorized official: PORTILLO, MELISSA

ProviderCityStateTotal Paid
SAN LORENZO DURABLE MEDICAL EQUIPMENT LLC EL PASO TX $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,127 $846K
2019 6,181 $1.05M
2020 32,698 $1.62M
2021 58,007 $2.93M
2022 59,093 $3.10M
2023 55,158 $2.90M
2024 45,829 $2.64M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 253,758 11,664 $14.92M
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) 4,880 220 $155K
T1005 Respite care services, up to 15 minutes 455 24 $16K