MARIA VALDEZ

NPI 1306296405, individual, Roma, TX, Clinic/Center, Adult Day Care

Evidence tier

informational

score 31 of 100, rank 10944, $1.2M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	MARIA VALDEZ (also BELLA ESPERANZA ADULT DAYCARE)
Type	Individual, sole proprietor
Status	Active
NPI issued	June 20, 2016, last updated June 13, 2024
Practice location	5145 OLD ESCOBARES HIGHWAY 83, Roma, TX 78584-5824, 956-298-0043
Specialties	Clinic/Center, Adult Day Care (261QA0600X, license 147543 TX) Clinic/Center, Adult Day Care (261QA0600X, primary)

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
S5101	Adult day care per half day	$1.6M	100%	$618	$439 (top 5% from $826)	79th percentile

In this area

5 providers in Starr County, TX carry an indicator in the public record, with $3.3M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tier	provider	at stake	why
1	CELIA ZUNIGA Rio Grande City, TX, ranked 249	$19K	Listed on the Medicare revocation list since February 26, 2014. Medicaid still paid claims in 5 later months, $18,657 in total.
4	DARIA BABINEAUX Rio Grande City, TX, ranked 8798	$1.7M	Hours beyond a day in 7 months, but with up to 2521 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
4	ARTEMIO GARCIA Rio Grande City, TX, ranked 9393	$269K	Hours beyond a day in 5 months, but with up to 569 patients a month, which points to a supervising clinician on the claims rather than one person's hours. Records needed.
5	MARIO RODRIGUEZ Rio Grande City, TX, ranked 10059	$1.3M	Medicaid dollars per patient on code 99444 ($235 per patient-month) sit in the top 5% of every provider billing that code.
5	YVETTE BELTRAN DBA LOS GIRASOLES ADULT DAY Rio Grande City, TX, ranked 11838	$28K

Recent enforcement in TX

All releases

Department 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

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Ask this case

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