Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › BROWNSVILLE › PURE VIP HEALTH CARE LLC

PURE VIP HEALTH CARE LLC

NPI: 1902245533 · BROWNSVILLE, TX 78521 · Developmentally Disabled Services Day Training Agency · NPI assigned 06/17/2013

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

95% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$8.61M
Total Medicaid Paid
168,545
Total Claims
6,147
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPEREZ, JOSE (ADMINSTRATOR)
NPI Enumeration Date06/17/2013

Related Entities

Other providers sharing the same authorized official: PEREZ, JOSE

ProviderCityStateTotal Paid
ABOUT BEHAVIOR CONSULTING, INC ORANGE CA $2.27M
BROADWAY PEDIATRICS M.D.P.C. NEW YORK NY $798K
AMSTERDAM PEDIATRICS PLLC NEW YORK NY $340K
BROADWAY I MEDICINE PLLC NEW YORK NY $194K
JOSE V PEREZ DO PA MIAMI LAKES FL $118K
P & C MEDICAL CARE ,INC CAPE CORAL FL $47K
DE LA VEGA MEDICAL CENTER, LLC HIALEAH GARDENS FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 569 $103K
2019 1,326 $226K
2020 15,064 $651K
2021 34,171 $1.42M
2022 36,567 $1.85M
2023 39,956 $2.03M
2024 40,892 $2.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 154,124 5,577 $8.14M
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) 13,033 495 $392K
T1005 Respite care services, up to 15 minutes 1,388 75 $76K