Medicaid Provider Spending

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

TE BRINDO CONSUELO HOME CARE LLC

NPI: 1922628221 · PENITAS, TX 78576 · Personal Care Attendant · NPI assigned 04/16/2020

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

92% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$8.07M
Total Medicaid Paid
170,474
Total Claims
6,040
Beneficiaries
3
Codes Billed
2021-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFLORES, ROXANNA (MEMBER)
NPI Enumeration Date04/16/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,900 $81K
2022 36,790 $1.71M
2023 59,029 $2.72M
2024 72,755 $3.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 153,766 5,311 $7.46M
T1005 Respite care services, up to 15 minutes 12,927 587 $513K
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) 3,781 142 $100K