Medicaid Provider Spending

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

GARCIA, JOSEPHINE

NPI: 1790020675 · SAN ANTONIO, TX 78227 · In Home Supportive Care Agency · NPI assigned 12/04/2012

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

95% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$11.79M
Total Medicaid Paid
163,039
Total Claims
8,990
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,919 $1.05M
2019 6,284 $1.38M
2020 30,512 $1.67M
2021 35,682 $2.00M
2022 22,401 $1.44M
2023 35,339 $2.15M
2024 30,902 $2.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 153,590 8,533 $11.25M
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) 9,449 457 $542K