Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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First Choice Children's Homecare, LP

First Choice Children's Homecare, LP was paid $10.05M by Medicaid between Jul 2022 and Dec 2024, across 1 billing code. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 100% of everything it billed.

33Billing provider infoFIRST CHOICE CHILDREN'S HOMECARE, LP
SAN ANTONIO, TX 78238
33aNPI1619501590assigned 02/28/2020
33bProvider typeRespite Care
28Total paid$10.05M
24GClaims21,226
24DCodes billed1
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers

Next to other Respite Care providers in Texas

Rank by total paid#11 of 35
Median peer was paid$3.54M
This provider vs. median2.8×

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.

Single-Code Concentration100% of spending on code T1000 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
20222,785$1.15M
20239,096$4.27M
2024incomplete9,345$4.62M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 100% 21,226 810 $10.05M

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

Full network →

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