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.
33 Billing provider infoFIRST CHOICE CHILDREN'S HOMECARE, LP SAN ANTONIO, TX 78238
33a NPI1619501590 assigned 02/28/2020
28 Total paid$10.05M
24G Claims21,226
24D Codes billed1
24A First – 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. median 2.8×
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 Concentration 100% of spending on code T1000 with only 1 total codes billed. Highly concentrated billing profile.
Entity Proliferation Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset.
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Box 24A · Dates of service
Paid by month
$0 $200K $400K $600K 2018 2019 2020 2021 2022 2023 2024
Paid that month Nov–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
2022 2,785 $1.15M 2023 9,096 $4.27M 2024incomplete 9,345 $4.62M
Box 24 · Service lines
What it billed for
Code Service Share Claims Bene. records Paid
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
Same official Other billing entities under BUCKHALTER, MATTHEW Full network →
Provider Location Paid
Medco Respiratory Instruments, INC. Houston, TX $171.57M Option 1 Nutrition Solutions LLC Denver, CO $168.53M D & D Services INC Tulsa, OK $119.26M Epic Health Services (PA), LLC Bala Cynwyd, PA $104.43M Pediatric Services of America, LLC Shelton, CT $92.74M Option 1 Nutrition Solutions, LLC Chandler, AZ $79.18M Pyra Med Health Services, LLC San Antonio, TX $67.65M Epic Health Services INC Worcester, MA $50.06M Dependable Nurses of Phoenix, LLC Scottsdale, AZ $49.43M Pediatric Services of America, LLC Brockton, MA $47.84M Epic Health Services, INC. Houston, TX $41.90M First Choice Childrens Homecare LP Stafford, TX $37.61M Pediatric Services of America, LLC Pittsburgh, PA $34.86M Pediatric Services of America, LLC Winter Park, FL $33.52M Pediatric Services of America, LLC Raleigh, NC $32.46M Option 1 Northwest Enteral LLC Kent, WA $32.43M Care Unlimited INC. Wexford, PA $32.43M Pediatric Services of America, LLC Harrisburg, PA $31.46M Pediatric Services of America, LLC Mcallen, TX $31.33M Pediatric Services of America, LLC Reading, PA $30.29M
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.