Medicaid Provider Spending

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

PEMA HEALTHCARE SERVICES

NPI: 1740213826 · HOUSTON, TX 77036 · Home Health Agency · NPI assigned 07/09/2006

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.

$3.78M
Total Medicaid Paid
75,212
Total Claims
2,695
Beneficiaries
1
Codes Billed
2020-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialISHOLA, PETER (ADMINISTRATOR)
NPI Enumeration Date07/09/2006

Related Entities

Other providers sharing the same authorized official: ISHOLA, PETER

ProviderCityStateTotal Paid
PEMA HEALTHCARE SERVICES, INC HOUSTON TX $64.17M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 5,983 $167K
2021 18,669 $840K
2022 16,236 $820K
2023 17,380 $921K
2024 16,944 $1.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 75,212 2,695 $3.78M