Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HEART HOME HEALTH CARE, INC

NPI: 1164561312 · HOUSTON, TX 77051 · Home Health Agency · NPI assigned 02/05/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

90% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$17.46M
Total Medicaid Paid
279,793
Total Claims
12,695
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENKINS, CARL (ADMINISTRATOR)
NPI Enumeration Date02/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,269 $749K
2019 3,261 $774K
2020 27,070 $1.49M
2021 63,430 $3.43M
2022 66,034 $3.69M
2023 58,941 $3.51M
2024 59,788 $3.82M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 243,344 10,884 $15.75M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 25,935 1,178 $1.18M
T1005 Respite care services, up to 15 minutes 10,514 633 $519K