Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › MISSION › DE VINE PRIMARY HOME CARE LLC

DE VINE PRIMARY HOME CARE LLC

NPI: 1750046777 · MISSION, TX 78572 · Home Health Registered Nurse · NPI assigned 11/04/2021

$297K
Total Medicaid Paid
5,300
Total Claims
214
Beneficiaries
1
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDE ANDA, ANDRINA (OWNER/ADMINISTRATOR)
NPI Enumeration Date11/04/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 5,300 $297K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 5,300 214 $297K