Medicaid Provider Spending

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

LA FUENTE, INC

NPI: 1871704718 · SULLIVAN CITY, TX 78595 · Home Health Agency · NPI assigned 05/24/2007

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

91% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$12.97M
Total Medicaid Paid
254,850
Total Claims
9,700
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALEMAN, VERONICA (ADMINISTRATOR)
NPI Enumeration Date05/24/2007

Related Entities

Other providers sharing the same authorized official: ALEMAN, VERONICA

ProviderCityStateTotal Paid
LA FUENTE INC. SULLIVAN CITY TX $1.64M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,226 $226K
2019 1,366 $284K
2020 18,666 $779K
2021 55,702 $2.47M
2022 50,878 $2.50M
2023 62,613 $3.14M
2024 64,399 $3.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 233,118 8,645 $11.80M
T1005 Respite care services, up to 15 minutes 17,904 911 $1.06M
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) 3,828 144 $108K