Medicaid Provider Spending

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

VIP PROVIDERS INC

NPI: 1861529208 · KINGSVILLE, TX 78363 · Personal Care Attendant · NPI assigned 02/27/2007

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

96% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$49.31M
Total Medicaid Paid
959,662
Total Claims
39,295
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDELGADO, JOE (CONTROLLER)
NPI Enumeration Date02/27/2007

Related Entities

Other providers sharing the same authorized official: DELGADO, JOE

ProviderCityStateTotal Paid
VIP PROVIDERS INC KINGSVILLE TX $3.67M
MRM HEALTH SERVICES CORP CARRIZO SPRINGS TX $1.12M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,866 $1.85M
2019 22,709 $1.88M
2020 78,188 $3.65M
2021 211,581 $9.68M
2022 211,129 $10.62M
2023 220,695 $10.77M
2024 195,494 $10.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 899,108 36,293 $47.15M
T1005 Respite care services, up to 15 minutes 26,961 1,629 $1.14M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 33,593 1,373 $1.02M