Agency
Edward's Home Health, INC.
Edward's Home Health, INC. was paid $5.07M by Medicaid between Oct 2020 and Dec 2024, across 3 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 99% of everything it billed.
33Billing provider infoEDWARD'S HOME HEALTH, INC.
AUSTIN, TX 78753
AUSTIN, TX 78753
33aNPI1831458249assigned 05/07/2012
33bProvider typeHome Health Agency
28Total paid$5.07M
24GClaims81,845
24DCodes billed3
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Texas
Rank by total paid#394 of 1,243
Median peer was paid$1.86M
This provider vs. median2.7×
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 Concentration99% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
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 | 3,050 | $184K | |
| 2021 | 19,501 | $1.11M | |
| 2022 | 22,054 | $1.33M | |
| 2023 | 20,972 | $1.29M | |
| 2024incomplete | 16,268 | $1.15M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 99% | 80,463 | 4,204 | $5.02M |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 1.0% | 1,365 | 579 | $51K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | <1% | 17 | 13 | $915.55 |
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 officialZAPATA, JOE (ADMINISTRATOR)