Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ABC PRIMARY HOME CARE SERVICES, LLC

NPI: 1891145447 · MCALLEN, TX 78501 · In Home Supportive Care Agency · NPI assigned 06/14/2016

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

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$2.81M
Total Medicaid Paid
55,521
Total Claims
2,621
Beneficiaries
1
Codes Billed
2018-06
First Month
2022-08
Last Month

Provider Details

Authorized OfficialESCALANTE, NORMA (ADMINISTRATOR)
NPI Enumeration Date06/14/2016

Related Entities

Other providers sharing the same authorized official: ESCALANTE, NORMA

ProviderCityStateTotal Paid
SUPERIOR HOME CARE INCORPORATED EDINBURG TX $930K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,342 $264K
2019 3,975 $376K
2020 12,868 $529K
2021 27,665 $1.16M
2022 9,671 $480K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 55,521 2,621 $2.81M