Agency
Avid Quality Care
Avid Quality Care was paid $27.13M by Medicaid between Jun 2020 and Dec 2024, across 30 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 58% of everything it billed.
33Billing provider infoAVID QUALITY CARE
AUBREY, TX 76227
AUBREY, TX 76227
33aNPI1235431453assigned 11/19/2010
33bProvider typeCase Management Agency
28Total paid$27.13M
24GClaims189,514
24DCodes billed30
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Texas
Rank by total paid#14 of 219
Median peer was paid$1.45M
This provider vs. median19×
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 | 625 | $10K | |
| 2021 | 53,335 | $4.47M | |
| 2022 | 40,710 | $7.20M | |
| 2023 | 42,523 | $6.97M | |
| 2024incomplete | 52,321 | $8.48M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 58% | 21,892 | 4,088 | $15.66M |
| H2014 | Skills training and development, per 15 minutes | 7.4% | 49,925 | 2,259 | $2.00M |
| M0167 | 7.1% | 12,673 | 515 | $1.92M | |
| M0169 | 3.9% | 6,345 | 263 | $1.05M | |
| S8990 | Physical or manipulative therapy performed for maintenance rather than restoration | 3.5% | 14,129 | 1,634 | $954K |
| M0166 | 3.4% | 6,457 | 259 | $921K | |
| T2020 | Day habilitation, waiver; per diem | 2.4% | 3,428 | 981 | $647K |
| M0125 | 2.1% | 6,127 | 249 | $576K | |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 1.7% | 8,176 | 1,364 | $465K |
| M0123 | 1.6% | 5,813 | 241 | $443K | |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.3% | 4,755 | 1,229 | $360K |
| M0116 | 1.3% | 10,989 | 673 | $348K |
18 more codes
| M0135 | 1.2% | 4,050 | $319K | |
| M0118 | 1.0% | 7,331 | $272K | |
| M0171 | <1% | 2,561 | $189K | |
| M0131 | <1% | 2,448 | $163K | |
| T1002 | Rn services, up to 15 minutes | <1% | 4,757 | $151K |
| M0115 | <1% | 4,327 | $125K | |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 4,958 | $116K |
| D0120 | Dental checkup, returning patient | <1% | 240 | $101K |
| M0133 | <1% | 1,594 | $93K | |
| M0299 | <1% | 1,645 | $71K | |
| M0298 | <1% | 3,468 | $61K | |
| M0113 | <1% | 73 | $41K | |
| M0117 | <1% | 485 | $22K | |
| M0101 | <1% | 173 | $20K | |
| A9153 | Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified | <1% | 165 | $18K |
| M0490 | <1% | 105 | $17K | |
| M0315 | <1% | 143 | $4K | |
| M0248 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | <1% | 282 | $3K |
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 officialCLARK, SHELLY (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Shelly K. Clark, Dentistry for Children | Midlothian, TX | $413K |
| Shelly K. Clark | Cedar Hill, TX | $257K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.