Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Real Life Healthcare Services, LLC

Real Life Healthcare Services, LLC was paid $2.79M by Medicaid between Oct 2018 and Mar 2024, across 1 billing code. Its largest line is T2046, Hospice long term care, room and board only; per diem — 100% of everything it billed.

33Billing provider infoREAL LIFE HEALTHCARE SERVICES, LLC
SAN ANTONIO, TX 78229
33aNPI1033434501assigned 03/28/2010
28Total paid$2.79M
24GClaims1,112
24DCodes billed1
24AFirst – last monthOct 2018 – Mar 2024
Compared with peers

Next to other Community Based Hospice Care Agency providers in Texas

Rank by total paid#66 of 252
Median peer was paid$1.04M
This provider vs. median2.7×

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 T2046 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201830$84K
201930$77K
2020174$452K
2021295$825K
2022237$618K
2023288$605K
2024incomplete58$130K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2046 Hospice long term care, room and board only; per diem 100% 1,112 833 $2.79M

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 officialMONTAGNE, JANET (CHIEF EXECUTIVE OFFICER)