Clinic
Edinburg Adult Day Care
Edinburg Adult Day Care was paid $1.46M by Medicaid between Jul 2020 and Dec 2024, across 1 billing code. Its largest line is S5101, Day care services, adult; per half day — 100% of everything it billed.
33Billing provider infoEDINBURG ADULT DAY CARE
EDINBURG, TX 78541
EDINBURG, TX 78541
33aNPI1821256660assigned 05/29/2008
33bProvider typeAdult Day Care Clinic/Center
28Total paid$1.46M
24GClaims7,615
24DCodes billed1
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in Texas
Rank by total paid#99 of 301
Median peer was paid$1.11M
This provider vs. median1.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 116 | $77K | |
| 2021 | 564 | $318K | |
| 2022 | 1,991 | $308K | |
| 2023 | 1,790 | $261K | |
| 2024incomplete | 3,154 | $496K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5101 | Day care services, adult; per half day | 100% | 7,615 | 2,088 | $1.46M |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPENA, MARTIN (PRESIDENT)
Parent organizationBOY MARTIN ENTERPRISES INC