Medicaid Provider Spending

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

OPTIMAL IN HOME CARE INC.

NPI: 1356440226 · HOUSTON, TX 77054 · Home Health Agency · NPI assigned 09/21/2006

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

99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$13.53M
Total Medicaid Paid
195,510
Total Claims
10,223
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMILLER, JACQUELINE (PRESIDENT/CEO)
NPI Enumeration Date09/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,194 $1.35M
2019 3,642 $1.19M
2020 9,741 $1.51M
2021 47,677 $2.39M
2022 46,530 $2.46M
2023 46,730 $2.35M
2024 37,996 $2.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 193,454 10,110 $13.46M
T1005 Respite care services, up to 15 minutes 2,056 113 $75K