Medicaid Provider Spending

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

SUNRISE PRIMARY CARE SERVICES

NPI: 1972668937 · GARLAND, TX 75043 · Nursing Care Agency · NPI assigned 12/27/2006

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

97% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$28.88M
Total Medicaid Paid
399,991
Total Claims
23,446
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWIGHTMAN, TOM (VP OF FINANCE)
NPI Enumeration Date12/27/2006

Related Entities

Other providers sharing the same authorized official: WIGHTMAN, TOM

ProviderCityStateTotal Paid
SUNRISE HOME HEALTH SERVICES OF AMERICA, INC. ROCKWALL TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,149 $2.89M
2019 12,820 $2.82M
2020 70,125 $3.80M
2021 92,170 $5.15M
2022 81,768 $5.12M
2023 71,899 $4.48M
2024 65,060 $4.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 385,454 22,476 $28.04M
T1005 Respite care services, up to 15 minutes 14,537 970 $838K