Clinic
Nueva Esperanza Adult Day Care
Nueva Esperanza Adult Day Care was paid $1.56M by Medicaid between Jul 2020 and Nov 2024, across 1 billing code. Its largest line is S5101, Day care services, adult; per half day — 100% of everything it billed.
33Billing provider infoNUEVA ESPERANZA ADULT DAY CARE
ROMA, TX 78584
ROMA, TX 78584
33aNPI1770716714assigned 08/25/2009
33bProvider typeAdult Day Care Clinic/Center
28Total paid$1.56M
24GClaims2,574
24DCodes billed1
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in Texas
Rank by total paid#84 of 301
Median peer was paid$1.11M
This provider vs. median1.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 151 | $54K | |
| 2021 | 700 | $376K | |
| 2022 | 614 | $387K | |
| 2023 | 560 | $346K | |
| 2024incomplete | 549 | $396K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5101 | Day care services, adult; per half day | 100% | 2,574 | 2,566 | $1.56M |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGARZA, GUSTAVO (OWNER)