MCFOISON, LLC
NPI: 1801231360
· HOUSTON, TX 77036
· Adult Day Care Clinic/Center
· NPI assigned 05/09/2013
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.
$4.87M
Total Medicaid Paid
Provider Details
| Authorized Official | KO, HEIDI (MANAGER) |
| NPI Enumeration Date | 05/09/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
438 |
$276K |
| 2021 |
2,023 |
$1.23M |
| 2022 |
2,069 |
$1.33M |
| 2023 |
2,030 |
$1.18M |
| 2024 |
1,423 |
$844K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5101 |
Day care services, adult; per half day |
7,983 |
7,837 |
$4.87M |