EDINBURG ADULT DAY CARE
NPI: 1821256660
· EDINBURG, TX 78541
· Adult Day Care Clinic/Center
· NPI assigned 05/29/2008
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.
$1.46M
Total Medicaid Paid
Provider Details
| Authorized Official | PENA, MARTIN (PRESIDENT) |
| Parent Organization | BOY MARTIN ENTERPRISES INC |
| NPI Enumeration Date | 05/29/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
116 |
$77K |
| 2021 |
564 |
$318K |
| 2022 |
1,991 |
$308K |
| 2023 |
1,790 |
$261K |
| 2024 |
3,154 |
$496K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5101 |
Day care services, adult; per half day |
7,615 |
2,088 |
$1.46M |