Avenidas
Avenidas was paid $3.88M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is S5102, adult day care, billed per day — 99% of everything it billed.
33Billing provider infoAVENIDAS
MOUNTAIN VIEW, CA 94040
MOUNTAIN VIEW, CA 94040
33aNPI1871700716assigned 05/17/2007
33bProvider typeCase Manager/Care Coordinator
28Total paid$3.88M
24GClaims49,707
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#200 of 435
Median peer was paid$2.89M
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 Concentration99% of spending on code S5102 with only 2 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 | |
|---|---|---|---|
| 2018 | 5,048 | $398K | |
| 2019 | 8,132 | $642K | |
| 2020 | 9,656 | $771K | |
| 2021 | 8,001 | $633K | |
| 2022 | 6,422 | $428K | |
| 2023 | 6,499 | $510K | |
| 2024incomplete | 5,949 | $501K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 99% | 49,196 | 3,321 | $3.85M |
| G9012 | Other specified case management service not elsewhere classified | <1% | 511 | 438 | $35K |
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 officialSHEARER, CINDY (EXECUTIVE ASSISTANT)