Medicaid Provider Spending

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

JMJ HOMEHEALTH CARE

NPI: 1720470248 · HORIZON CITY, TX 79928 · Home Health Agency · NPI assigned 02/19/2015

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

96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$29.44M
Total Medicaid Paid
447,262
Total Claims
21,977
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialESPINOZA, JOE (CFO)
NPI Enumeration Date02/19/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,531 $884K
2019 5,936 $1.33M
2020 17,010 $1.85M
2021 82,586 $4.55M
2022 110,049 $6.28M
2023 114,019 $6.60M
2024 114,131 $7.95M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 415,738 20,245 $28.18M
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) 18,121 943 $669K
T1005 Respite care services, up to 15 minutes 13,403 789 $592K