Medicaid Provider Spending

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

JOSE R MARTINEZ DBA: DULCE HOGAR ADULT DAY CARE CENTER

NPI: 1902094329 · BROWNSVILLE, TX 78521 · Adult Day Care Clinic/Center · NPI assigned 10/10/2007

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

100% of spending on code S5101 with only 2 total codes billed. Highly concentrated billing profile.

$1.07M
Total Medicaid Paid
7,421
Total Claims
1,704
Beneficiaries
2
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMARTINEZ, JOSE (OWNER)
NPI Enumeration Date10/10/2007

Related Entities

Other providers sharing the same authorized official: MARTINEZ, JOSE

ProviderCityStateTotal Paid
EXCELLENCE MENTAL HEALTH, INC HIALEAH FL $5.85M
APOLLO ADVANCED HOME HEALTH CORP. TAMPA FL $3.11M
PULMONARY AND SLEEP SPECIALISTS OF FLORIDA P A POMPANO BEACH FL $416K
JOSE MARTINEZ MD PA MCALLEN TX $2K
LAREDO QUALITY HOME HEALTH, INC. LAREDO TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 367 $45K
2021 1,898 $256K
2022 1,466 $217K
2023 1,443 $206K
2024 2,247 $346K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5101 Day care services, adult; per half day 7,408 1,691 $1.07M
S5100 Day care services, adult; per 15 minutes 13 13 $0.00