Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Pyra Med Health Services, LLC

Pyra Med Health Services, LLC was paid $48.45M by Medicaid between Oct 2020 and Dec 2024, across 10 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 62% of everything it billed.

33Billing provider infoPYRA MED HEALTH SERVICES, LLC
LAREDO, TX 78041
33aNPI1447584032assigned 09/29/2009
33bProvider typeNursing Care Agency
28Total paid$48.45M
24GClaims276,972
24DCodes billed10
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Nursing Care Agency providers in Texas

Rank by total paid#10 of 162
Median peer was paid$5.72M
This provider vs. median8.5×

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.

Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
20209,169$1.81M
202166,211$11.65M
202268,458$11.16M
202369,083$11.64M
2024incomplete64,051$12.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 62% 72,965 2,907 $29.87M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 24% 132,082 18,708 $11.78M
97530 Therapeutic activities, direct patient contact, each 15 minutes 6.7% 37,190 6,153 $3.25M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.8% 24,417 3,834 $2.33M
92526 1.3% 5,769 1,275 $643K
S9152 Speech therapy, re-evaluation <1% 2,694 2,635 $352K
92523 <1% 647 639 $102K
97168 <1% 844 833 $83K
97164 <1% 352 345 $35K
97167 <1% 12 12 $1K

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 officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.