Medicaid Provider Spending

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

GUADALUPE HOME CARE INC

NPI: 1982016564 · PHARR, TX 78577 · In Home Supportive Care Agency · NPI assigned 05/29/2014

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.

$39.24M
Total Medicaid Paid
831,498
Total Claims
30,509
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDE LA TORRE, ERIKA (ADMINISTRATOR)
NPI Enumeration Date05/29/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,329 $732K
2019 22,175 $1.05M
2020 52,846 $2.24M
2021 149,533 $6.39M
2022 179,516 $8.31M
2023 214,387 $9.64M
2024 198,712 $10.88M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 737,059 26,455 $36.02M
T1005 Respite care services, up to 15 minutes 55,114 2,559 $2.06M
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) 39,325 1,495 $1.16M