Medicaid Provider Spending

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

EPOCA DE ORO ADULT DAY CARE, LLC

NPI: 1750637351 · PALMVIEW, TX 78574 · Adult Day Care Clinic/Center · NPI assigned 08/01/2012

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

100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.

$4.79M
Total Medicaid Paid
35,275
Total Claims
7,164
Beneficiaries
1
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBENITEZ, LILIA (NURSE)
NPI Enumeration Date08/01/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 964 $113K
2021 6,580 $796K
2022 8,908 $1.20M
2023 9,043 $1.20M
2024 9,780 $1.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5101 Day care services, adult; per half day 35,275 7,164 $4.79M