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

Exceptional Care INC.

Exceptional Care INC. was paid $11.85M by Medicaid between Jan 2021 and Dec 2024, across 14 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 69% of everything it billed.

33Billing provider infoEXCEPTIONAL CARE INC.
HOUSTON, TX 77061
33aNPI1821292269assigned 06/11/2007
28Total paid$11.85M
24GClaims114,487
24DCodes billed14
24AFirst – last monthJan 2021 – 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#32 of 115
Median peer was paid$5.61M
This provider vs. median2.1×

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

$0$200K$400K2018201920202021202220232024
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
202127,193$1.75M
202235,554$3.35M
202320,186$3.48M
2024incomplete31,554$3.27M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 69% 54,836 2,682 $8.22M
M0123 6.8% 10,640 439 $810K
M0150 6.3% 4,919 195 $747K
H2014 Skills training and development, per 15 minutes 5.1% 14,282 764 $609K
M0122 4.6% 7,456 300 $541K
T2020 Day habilitation, waiver; per diem 2.8% 4,444 499 $327K
M0116 2.6% 9,961 449 $305K
M0115 <1% 4,037 199 $114K
T1002 Rn services, up to 15 minutes <1% 2,370 1,024 $70K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient <1% 135 128 $61K
M0299 <1% 1,249 660 $38K
M0113 <1% 41 41 $10K
2 more codes
M0315 <1% 100 $2K
M0133 <1% 17 $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 officialJACKSON, LONNIE (CEO)