Criterion Health Care, LLC
Criterion Health Care, LLC was paid $7.22M by Medicaid between Mar 2019 and Dec 2024, across 2 billing codes. Its largest line is S9110, Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month — 100% of everything it billed.
RICHARDSON, TX 75080
Next to other Home Health Agency providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 370 | $56K | |
| 2020 | 1,322 | $206K | |
| 2021 | 7,979 | $1.41M | |
| 2022 | 7,991 | $1.82M | |
| 2023 | 9,855 | $2.31M | |
| 2024incomplete | 8,255 | $1.41M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9110 | Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month | 100% | 35,756 | 34,006 | $7.22M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 0% | 16 | 16 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| A-Med Health LLC | Texas City, TX | $2.45M |
| Hometown Home Health, LLC | Oklahoma City, OK | $890K |
| Legacy Hospice, LLC | Longview, TX | $791K |
| Alliant Home Health, LLC | Westminster, CO | $374K |
| Heavenly Hospice at Home, LLC | Texas City, TX | $140K |
| Accentra Home Healthcare, LLC | Kingfisher, OK | $123K |
| Integrity Family Home Care LLC | Tyler, TX | $7K |
| Three of a Kind, LLC | Grapevine, TX | $0.00 |
| Annjo's Home Health Care LLC | Reno, NV | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.