Medicaid Provider Spending

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

NUECES COUNTY MHMR COMMUNITY CENTER

NPI: 1790859957 · CORPUS CHRISTI, TX 78415 · Case Manager/Care Coordinator · NPI assigned 11/20/2006

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

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

$1.66M
Total Medicaid Paid
18,490
Total Claims
14,684
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMENDIOLA, RENE (CFO)
NPI Enumeration Date11/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 538 $26K
2019 539 $27K
2020 1,252 $65K
2021 4,131 $292K
2022 4,275 $456K
2023 4,478 $486K
2024 3,277 $311K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 18,490 14,684 $1.66M