Managed care
Las Fronteras Adult Day Care, INC.
Las Fronteras Adult Day Care, INC. was paid $5.08M by Medicaid between Jan 2020 and Dec 2024, across 1 billing code. Its largest line is S5101, Day care services, adult; per half day — 100% of everything it billed.
33Billing provider infoLAS FRONTERAS ADULT DAY CARE, INC.
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1982892766assigned 10/05/2007
33bProvider typeHealth Maintenance Organization
28Total paid$5.08M
24GClaims33,954
24DCodes billed1
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in Texas
Rank by total paid#1 of 16
Median peer was paid$18K
This provider vs. median283×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code S5101 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,039 | $268K | |
| 2021 | 8,996 | $1.29M | |
| 2022 | 7,798 | $1.20M | |
| 2023 | 7,873 | $1.14M | |
| 2024incomplete | 7,248 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5101 | Day care services, adult; per half day | 100% | 33,954 | 7,363 | $5.08M |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCUELLAR, PEDRO (OWNER)