Medicaid Provider Spending

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

AVENIDAS

NPI: 1871700716 · MOUNTAIN VIEW, CA 94040 · Case Manager/Care Coordinator · NPI assigned 05/17/2007

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

99% of spending on code S5102 with only 2 total codes billed. Highly concentrated billing profile.

$3.88M
Total Medicaid Paid
49,707
Total Claims
3,759
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHEARER, CINDY (EXECUTIVE ASSISTANT)
NPI Enumeration Date05/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,949 $501K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 49,196 3,321 $3.85M
G9012 Other specified case management service not elsewhere classified 511 438 $35K