Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HOUSTON › ULTIMATE PEDIATRIC CARE, INC.

ULTIMATE PEDIATRIC CARE, INC.

NPI: 1932201514 · HOUSTON, TX 77077 · Home Health Agency · NPI assigned 09/02/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$9.49M
Total Medicaid Paid
158,062
Total Claims
6,878
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIMS, MERCY (ADMINISTRATOR)
NPI Enumeration Date09/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 605 $338K
2019 3,151 $379K
2020 16,453 $910K
2021 33,305 $1.78M
2022 31,785 $1.75M
2023 33,522 $2.01M
2024 39,241 $2.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 154,090 6,619 $9.31M
T1005 Respite care services, up to 15 minutes 3,972 259 $174K