Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › RICHARDSON › CRITERION HEALTH CARE, LLC

CRITERION HEALTH CARE, LLC

NPI: 1548215114 · RICHARDSON, TX 75080 · Home Health Agency · NPI assigned 05/23/2006

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

100% of spending on code S9110 with only 2 total codes billed. Highly concentrated billing profile.

$7.22M
Total Medicaid Paid
35,772
Total Claims
34,022
Beneficiaries
2
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLANIER, KATRINA (CHIEF GROWTH OFFICER)
NPI Enumeration Date05/23/2006

Related Entities

Other providers sharing the same authorized official: LANIER, KATRINA

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 370 $56K
2020 1,322 $206K
2021 7,979 $1.41M
2022 7,991 $1.82M
2023 9,855 $2.31M
2024 8,255 $1.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9110 Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month 35,756 34,006 $7.22M
S5125 Attendant care services; per 15 minutes 16 16 $0.00