Agency
Optimal Home Health INC
Optimal Home Health INC was paid $3.24M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoOPTIMAL HOME HEALTH INC
DALLAS, TX 75228
DALLAS, TX 75228
33aNPI1255425625assigned 10/03/2006
33bProvider typeHome Health Agency
28Total paid$3.24M
24GClaims45,230
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Texas
Rank by total paid#494 of 1,243
Median peer was paid$1.86M
This provider vs. median1.7×
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 Concentration100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2018 | 850 | $230K | |
| 2019 | 790 | $245K | |
| 2020 | 3,708 | $290K | |
| 2021 | 10,345 | $586K | |
| 2022 | 10,299 | $698K | |
| 2023 | 8,963 | $452K | |
| 2024incomplete | 10,275 | $743K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 100% | 45,230 | 2,396 | $3.24M |
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 officialEHIGIATOR, JOANN (ALTERNATE ADMINISTRATOR/DON)