Medicaid Provider Spending

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

EN SU CASA PRIMARY HOME CARE SERVICES, INC

NPI: 1972672749 · SAN ANTONIO, TX 78224 · Home Health Agency · NPI assigned 11/07/2006

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

94% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$68.75M
Total Medicaid Paid
1,215,065
Total Claims
54,195
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, LINDA (CEO)
NPI Enumeration Date11/07/2006

Related Entities

Other providers sharing the same authorized official: SMITH, LINDA

ProviderCityStateTotal Paid
REAL LIFE COUNSELING LLC BEL AIR MD $653K
MINDFUL LIFE PRACTICE, LLC TRAVERSE CITY MI $58K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 34,262 $3.72M
2019 80,786 $4.11M
2020 122,107 $6.39M
2021 240,481 $12.25M
2022 256,351 $14.00M
2023 253,482 $13.87M
2024 227,596 $14.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 1,131,319 49,743 $64.94M
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) 43,605 2,164 $2.08M
T1005 Respite care services, up to 15 minutes 40,141 2,288 $1.73M