Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Lubbock › NPI 1306096904

Higher Expectations, LLC

Higher Expectations, LLC was paid $14.13M by Medicaid between Oct 2020 and Dec 2024, across 12 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 41% of everything it billed.

33Billing provider infoHIGHER EXPECTATIONS, LLC
LUBBOCK, TX 79424
33aNPI1306096904assigned 09/19/2008
33bProvider typeOccupational Therapist
28Total paid$14.13M
24GClaims113,498
24DCodes billed12
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Occupational Therapist providers in Texas

Rank by total paid#2 of 299
Median peer was paid$93K
This provider vs. median152×

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

$0$200K$400K$600K2018201920202021202220232024
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
20204,311$583K
202134,518$4.80M
202225,087$3.57M
202326,068$3.41M
2024incomplete23,514$1.76M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 41% 13,697 630 $5.86M
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 26% 47,255 6,463 $3.69M
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 11% 21,554 3,309 $1.48M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8.8% 13,967 2,370 $1.25M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 6.3% 9,076 1,663 $884K
S9124 Nursing care, in the home; by licensed practical nurse, per hour 4.5% 5,242 785 $637K
T1001 Nursing assessment / evaluation 1.0% 668 643 $143K
97163 <1% 914 897 $88K
S9131 Physical therapy; in the home, per diem <1% 746 128 $56K
97167 <1% 304 296 $30K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 34 28 $632.47
99072 0% 41 27 $0.00

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 officialKANE, LONNY (PRESIDENT)