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

International Tutoring Services, LLC

International Tutoring Services, LLC was paid $22.43M by Medicaid between Sep 2018 and Nov 2024, across 2 billing codes. Its largest line is T2046, Hospice long term care, room and board only; per diem — 91% of everything it billed.

33Billing provider infoINTERNATIONAL TUTORING SERVICES, LLC
DALLAS, TX 75207
33aNPI1164466397assigned 06/16/2006
28Total paid$22.43M
24GClaims140,541
24DCodes billed2
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers

Next to other Community Based Hospice Care Agency providers in Texas

Rank by total paid#2 of 252
Median peer was paid$1.04M
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration91% of spending on code T2046 with only 2 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official COMBS, JANET controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
2018119$251K
2019755$1.62M
202023,818$3.66M
202142,884$6.22M
202232,290$4.57M
202323,133$3.31M
2024incomplete17,542$2.80M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2046 Hospice long term care, room and board only; per diem 91% 128,118 6,315 $20.40M
T2042 Hospice routine home care; per diem 9.1% 12,423 500 $2.04M

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 officialCOMBS, JANET (VP OF LICENSURE)
Same official

Other billing entities under COMBS, JANET

Full network →
ProviderLocationPaid
Southerncare, INC.Youngstown, OH$42.55M
Regency Hospice of Georgia, LLCAiken, SC$11.99M
Vistacare USA, LLCColumbus, OH$11.72M
New Beacon Healthcare Group, LLCNorthport, AL$11.02M
Odyssey Healthcare Operating B LPWarwick, RI$9.27M
Odyssey Healthcare Operating a LPSan Antonio, TX$7.64M
Hospice of the Emerald Coast, INC.Panama City, FL$7.51M
Family Hospice, LTD.Hobbs, NM$7.36M
New Beacon Healthcare Group, LLCScottsboro, AL$6.18M
Angel Heart Hospice, LLCAustin, TX$6.15M
Wiregrass Hospice, LLCDothan, AL$5.77M
Tnmo Healthcare, LLCNashville, TN$5.66M
New Beacon Healthcare Group, LLCBirmingham, AL$5.58M
Odyssey Healthcare Operating A, LPBeaumont, TX$4.99M
The American Heartland Hospice Corp.Saint Louis, MO$4.69M
Southerncare, INC.Greenville, AL$3.74M
Wiregrass Hospice of South Carolina, LLCSpartanburg, SC$3.52M
Odyssey Healthcare Operating B LPPiscataway, NJ$3.25M
Family Hospice, LTD.San Antonio, TX$2.94M
Gilbert's Hospice Care, LLCBooneville, MS$2.86M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.