Agency
Abc Health Care INC
Abc Health Care INC was paid $5.35M by Medicaid between Oct 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 infoABC HEALTH CARE INC
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
33aNPI1841327848assigned 02/27/2007
33bProvider typeHome Health Agency
28Total paid$5.35M
24GClaims4,733
24DCodes billed1
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Texas
Rank by total paid#383 of 1,243
Median peer was paid$1.86M
This provider vs. median2.9×
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.
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 | |
|---|---|---|---|
| 2022 | 320 | $583K | |
| 2023 | 1,142 | $2.15M | |
| 2024incomplete | 3,271 | $2.61M |
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% | 4,733 | 396 | $5.35M |
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 officialHERNANDEZ, MARCO (PRESIDENT)