Residential
Ahora Y Siempre INC
Ahora Y Siempre INC was paid $35.19M by Medicaid between Nov 2020 and Dec 2024, across 36 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 49% of everything it billed.
33Billing provider infoAHORA Y SIEMPRE INC
DALLAS, TX 75202
DALLAS, TX 75202
33aNPI1598084774assigned 05/26/2010
33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
28Total paid$35.19M
24GClaims303,873
24DCodes billed36
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Texas
Rank by total paid#5 of 115
Median peer was paid$5.61M
This provider vs. median6.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 101 | $20K | |
| 2021 | 91,141 | $7.22M | |
| 2022 | 81,081 | $9.46M | |
| 2023 | 57,671 | $8.88M | |
| 2024incomplete | 73,879 | $9.62M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 49% | 75,894 | 6,896 | $17.15M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 12% | 35,638 | 2,030 | $4.29M |
| M0123 | 7.7% | 35,543 | 1,434 | $2.71M | |
| M0124 | 4.5% | 13,408 | 541 | $1.60M | |
| M0125 | 4.2% | 15,618 | 639 | $1.47M | |
| H2014 | Skills training and development, per 15 minutes | 3.8% | 29,516 | 1,671 | $1.32M |
| M0354 | 3.6% | 10,029 | 514 | $1.27M | |
| M0360 | 2.7% | 8,494 | 599 | $938K | |
| T2020 | Day habilitation, waiver; per diem | 2.3% | 21,700 | 1,190 | $796K |
| M0122 | 2.2% | 10,570 | 415 | $767K | |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 1.3% | 4,125 | 696 | $465K |
| M0116 | 1.1% | 12,054 | 688 | $380K |
24 more codes
| D0120 | Dental checkup, returning patient | 1.0% | 707 | $359K |
| M0117 | <1% | 6,973 | $328K | |
| M0118 | <1% | 6,731 | $254K | |
| M0240 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring, subsequent repeat doses | <1% | 2,011 | $224K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 1,845 | $196K |
| M0101 | <1% | 633 | $106K | |
| M0115 | <1% | 3,456 | $100K | |
| M0133 | <1% | 926 | $95K | |
| M0201 | Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | <1% | 2,524 | $75K |
| M0171 | <1% | 1,043 | $73K | |
| M0113 | <1% | 119 | $58K | |
| M0299 | <1% | 387 | $31K | |
| S5199 | Personal care item, nos, each | <1% | 338 | $28K |
| M0372 | <1% | 1,695 | $28K | |
| T2025 | Waiver services not otherwise specified | <1% | 333 | $27K |
| A9153 | Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified | <1% | 123 | $17K |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 62 | $11K |
| M0248 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | <1% | 580 | $10K |
| T1002 | Rn services, up to 15 minutes | <1% | 129 | $7K |
| M0315 | <1% | 111 | $4K | |
| M0298 | <1% | 296 | $4K | |
| M0419 | <1% | 121 | $2K | |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 30 | $430.01 |
| T2003 | Non-emergency transportation, per trip | <1% | 111 | $11.50 |
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 officialGONZALEZ, FRANCISCO (PROGRAM MANAGER)