Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Pyra Med Health Services, LLC

Pyra Med Health Services, LLC was paid $67.65M by Medicaid between Jul 2019 and Dec 2024, across 12 billing codes. Its largest line is T1000, Private duty / independent nursing service(s) - licensed, up to 15 minutes — 89% of everything it billed.

33Billing provider infoPYRA MED HEALTH SERVICES, LLC
SAN ANTONIO, TX 78216
33aNPI1740316561assigned 02/26/2007
33bProvider typeHome Health Agency
28Total paid$67.65M
24GClaims212,624
24DCodes billed12
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#13 of 1,243
Median peer was paid$1.86M
This provider vs. median36×

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.

Entity ProliferationAuthorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
2019564$216K
202011,605$3.65M
202157,194$17.86M
202255,752$17.04M
202349,720$15.79M
2024incomplete37,789$13.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 89% 137,571 5,665 $60.09M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 3.8% 29,413 4,609 $2.59M
97530 Therapeutic activities, direct patient contact, each 15 minutes 3.8% 26,248 4,342 $2.55M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2.0% 13,738 2,323 $1.38M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes <1% 2,805 559 $527K
T1005 Respite care services, up to 15 minutes <1% 1,404 273 $248K
S9124 Nursing care, in the home; by licensed practical nurse, per hour <1% 232 12 $120K
S9152 Speech therapy, re-evaluation <1% 501 490 $63K
97168 <1% 527 521 $52K
92523 <1% 88 86 $14K
97164 <1% 85 85 $9K
97166 <1% 12 12 $1K

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

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