Medicaid Provider Spending

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

FAMILY CAREGIVERS

NPI: 1861730715 · JAMAICA PLAIN, MA 02130 · Adult Care Home Facility · NPI assigned 01/28/2013

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

98% of spending on code S5140 with only 2 total codes billed. Highly concentrated billing profile.

$41.17M
Total Medicaid Paid
529,938
Total Claims
18,431
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDE LA ROSA, JOSE (CEO)
Parent OrganizationGUARDIAN HEALTHCARE
NPI Enumeration Date01/28/2013

Related Entities

Other providers sharing the same authorized official: DE LA ROSA, JOSE

ProviderCityStateTotal Paid
GUARDIAN HEALTHCARE, LLC JAMAICA PLAIN MA $13.37M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67,295 $4.84M
2019 79,067 $5.86M
2020 77,627 $5.44M
2021 89,160 $6.91M
2022 79,351 $6.36M
2023 74,217 $6.26M
2024 63,221 $5.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 508,604 17,344 $40.33M
H0043 Supported housing, per diem 21,334 1,087 $848K