Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEDIATRIC HOME HEALTHCARE

NPI: 1942736533 · HOUSTON, TX 77060 · Home Health Agency · NPI assigned 05/03/2017

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

100% of spending on code T1000 with only 1 total codes billed. Highly concentrated billing profile.

$16.80M
Total Medicaid Paid
34,250
Total Claims
1,375
Beneficiaries
1
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHOSLEY, DENNIS (COO)
NPI Enumeration Date05/03/2017

Related Entities

Other providers sharing the same authorized official: HOSLEY, DENNIS

ProviderCityStateTotal Paid
PEDIATRIC HOME HEALTHCARE, LLC MESQUITE TX $25.64M
PEDIATRIC HOME HEALTHCARE, LLC TYLER TX $23.67M
PEDIATRIC HOME HEALTHCARE, LLC SAN ANTONIO TX $23.36M
PEDIATRIC HOME HEALTHCARE HOUSTON TX $17.50M
PEDIATRIC HOME HEALTHCARE, LLC FORT WORTH TX $14.58M
PEDIATRIC HOME HEALTHCARE, LLC DALLAS TX $14.33M
PEDIATRIC HOME HEALTHCARE, LLC MESQUITE TX $11.73M
PEDIATRIC HOME HEALTHCARE, LLC AUSTIN TX $2.01M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 812 $366K
2021 4,383 $1.95M
2022 9,426 $4.42M
2023 11,403 $5.80M
2024 8,226 $4.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 34,250 1,375 $16.80M