Medicaid Provider Spending

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

CANTU, JULIO

NPI: 1952545196 · WESLACO, TX 78596 · Adult Day Care Clinic/Center · NPI assigned 04/30/2009

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

100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.

$3.05M
Total Medicaid Paid
47,054
Total Claims
5,044
Beneficiaries
1
Codes Billed
2020-06
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,807 $177K
2021 24,187 $822K
2022 9,349 $714K
2023 4,269 $647K
2024 4,442 $688K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5101 Day care services, adult; per half day 47,054 5,044 $3.05M