A Pineywoods Home Services

A Pineywoods Home Services was paid $62.59M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoA PINEYWOODS HOME SERVICES
LUFKIN, TX 75904

33aNPI1932132255assigned 07/09/2006

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$62.59M

24GClaims1,126,096

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Texas

Rank by total paid#11 of 183

Median peer was paid$6.15M

This provider vs. median10×

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 2 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
2018	9,833	$3.80M
2019	38,670	$4.28M
2020	140,534	$6.50M
2021	252,114	$11.85M
2022	186,914	$9.41M
2023	243,682	$12.17M
2024incomplete	254,349	$14.59M

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%	1,115,517	62,566	$62.17M
T1005	Respite care services, up to 15 minutes	<1%	10,579	773	$425K

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 officialNARANJO, MARY (CEO)