Providers
All 15 in TX
EMPIRE SPANISH MEADOWS LTD
NPI 1033191127, organization, Brownsville, TX, Skilled Nursing Facility
3
Evidence tier
network structure with a list link
- Part of provider network D1-00077, ranked 77 nationally.
score 63 of 100, rank 1638, $2K at stake
Provider networks
D1-00077 ranked 7759 providers around Arlington, TX: 14 hospices, 27 home health agencies, 18 nursing facilities.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | EMPIRE SPANISH MEADOWS LTD (also SPANISH MEADOWS) |
| Type | Organization |
| Status | Active |
| NPI issued | November 15, 2005, last updated May 3, 2023 |
| Practice location | 440 RUBEN M TORRES BLVD, Brownsville, TX 78520-9102, 195-654-6737 |
| Mailing address | 25009 OAKHURST DR, Spring, TX 77386-1975 |
| Authorized official | RAMIRO LOZANO (Managing Director) |
| Specialties | Skilled Nursing Facility (314000000X, primary, license 455802 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| A4310 | Medicaid service code | $6K | 91% | $7.16 | $7.78 (top 5% from $48) | 49th percentile | |
| 97530 | Therapy procedure using functional activities | $573 | 9% | $1.86 | $124 (top 5% from $387) | 3rd percentile | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | $0 | 0% | $0.00 | $40 (top 5% from $69) | too few months to rank | |
| G0008 | Administration of influenza virus vaccine | $0 | 0% | $0.00 | $0.25 (top 5% from $17) | too few months to rank | |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | $0 | 0% | $0.00 | $19 (top 5% from $72) | too few months to rank | |
| 97116 | Therapy procedure for walking training, each 15 minutes | $0 | 0% | $0.00 | $30 (top 5% from $180) | too few months to rank | |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $0 | 0% | $0.00 | $2.30 (top 5% from $20) | too few months to rank | |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $0 | 0% | $0.00 | $76 (top 5% from $314) | 0th percentile |
In this area
15 providers in Cameron County, TX carry an indicator in the public record, with $11.7M at stake between them. The most common is more hours than a day holds, on 10 of them, followed by part of a provider network on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SOUTHWEST MEDICAL HOMEPATIENT Harlingen, TX, ranked 665 | $0 |
|
| 3 | K&M HOSPICE LLC Rio Hondo, TX, ranked 3914 | $0 |
|
| 3 | WILLOW HOSPICE CARE LLC Rio Hondo, TX, ranked 4074 | $0 |
|
| 3 | APC HOME HEALTH SERVICE, INC Harlingen, TX, ranked 5596 | $0 |
|
| 3 | THE MEDICAL TEAM INC Harlingen, TX, ranked 5853 | $0 |
|
| 4 | ASIM ZAMIR Brownsville, TX, ranked 7408 | $6.9M |
|
| 4 | VAHID MIRAFZALI Brownsville, TX, ranked 7750 | $1.5M |
|
| 4 | FRANCISCO TORRES Brownsville, TX, ranked 7814 | $1.1M |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.