Agency
Pathfinder Pediatric Home Care, LLC
Pathfinder Pediatric Home Care, LLC was paid $38.60M by Medicaid between Apr 2020 and Dec 2024, across 11 billing codes. Its largest line is 92507, Treatment of speech, language, voice, communication, and/or auditory processing disorder — 49% of everything it billed.
33Billing provider infoPATHFINDER PEDIATRIC HOME CARE, LLC
SPRING, TX 77386
SPRING, TX 77386
33aNPI1134371651assigned 10/15/2008
33bProvider typeHome Health Agency
28Total paid$38.60M
24GClaims375,516
24DCodes billed11
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Texas
Rank by total paid#51 of 1,243
Median peer was paid$1.86M
This provider vs. median21×
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.
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 | 28,149 | $2.94M | |
| 2021 | 102,085 | $10.86M | |
| 2022 | 98,118 | $10.27M | |
| 2023 | 86,517 | $8.32M | |
| 2024incomplete | 60,647 | $6.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 49% | 199,661 | 31,681 | $18.84M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 30% | 104,242 | 18,170 | $11.57M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 18% | 60,226 | 10,784 | $6.80M |
| S9152 | Speech therapy, re-evaluation | 1.5% | 4,930 | 4,772 | $584K |
| 92523 | <1% | 1,520 | 1,504 | $256K | |
| 97168 | <1% | 2,483 | 2,416 | $248K | |
| 97164 | <1% | 1,400 | 1,365 | $142K | |
| 97166 | <1% | 647 | 631 | $70K | |
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | <1% | 186 | 12 | $70K |
| 97162 | <1% | 167 | 164 | $17K | |
| 92526 | <1% | 54 | 12 | $7K |
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 officialVALDATA, JUSTIN (VP OF OPERATIONS)