Medicaid Provider Spending

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

OPTIMAL HOME HEALTH INC

NPI: 1255425625 · DALLAS, TX 75228 · Home Health Agency · NPI assigned 10/03/2006

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

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$3.24M
Total Medicaid Paid
45,230
Total Claims
2,396
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEHIGIATOR, JOANN (ALTERNATE ADMINISTRATOR/DON)
NPI Enumeration Date10/03/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 850 $230K
2019 790 $245K
2020 3,708 $290K
2021 10,345 $586K
2022 10,299 $698K
2023 8,963 $452K
2024 10,275 $743K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 45,230 2,396 $3.24M