LA CASA DE SUSY ADULT DAY CARE, LLC
NPI: 1801363163
· RIO GRANDE CITY, TX 78582
· Adult Day Care Clinic/Center
· NPI assigned 10/25/2018
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.
$3.46M
Total Medicaid Paid
Provider Details
| Authorized Official | LOPEZ, SAN JUANITA (MEMBER) |
| Parent Organization | LA CASA DE SUSY ADULT DAY CARE, LLC |
| NPI Enumeration Date | 10/25/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
682 |
$95K |
| 2021 |
5,028 |
$694K |
| 2022 |
6,234 |
$945K |
| 2023 |
5,985 |
$867K |
| 2024 |
5,409 |
$863K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5101 |
Day care services, adult; per half day |
23,338 |
4,980 |
$3.46M |