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    OpenPayerNPI Medicare & MedicaidTexas Home Health Of America, L.P.
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    Texas Home Health Of America, L.P. — Billing Profile & Reimbursement Data

    NPI 1497938294 · Dallas, TX · Home Health Agency

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    Texas Home Health Of America, L.P. is a home health agency provider located in Dallas, Texas. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationTexas Home Health Of America, L.P.
    Address17855 Dallas Pkwy Ste 200
    CityDallas
    StateTX
    ZIP75287
    TaxonomyHome Health Agency
    NPI EnumeratedDecember 14, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$70.9M
    Medicare$0

    Key Findings

    All Medicaid revenue is driven by attendant care: the provider reports $70.9M in total Medicaid revenue, all of which is attributed to S5125 (Attendant care services; per 15 minutes). The S5125 line shows 1.1M claims at a $62 avg paid/claim, indicating the business model is overwhelmingly minute-based attendant care rather than episodic skilled nursing or other home-health services.

    Revenue concentration is extreme: the precomputed data show the top 3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, and S5125 alone is listed as generating 100.0% of the $70.9M. This single-code dependency signals that any reimbursement or policy shift affecting S5125 would materially impact the provider's entire Medicaid revenue stream.

    This entity is effectively a single-payer operator in the available data: there is no Medicare billing on file, and all reported government revenue comes from Medicaid. Analysts should treat this profile as Medicaid-focused rather than balanced across Medicare and Medicaid.

    Competitive standing in-state for attendant care is strong: S5125 revenue ranks #24 of 1678 providers in-state (99th percentile; notably above typical state volume for this code). That ranking positions the provider as a major statewide player for attendant care delivery and a clear high-volume participant relative to peers.

    Operational scale implied by claims volume is substantial: 1.1M claims for S5125 at a $62 avg paid/claim suggests very high throughput and sustained episode/visit-level billing activity. This level of minute-based billing typically requires large caregiver staffing capacity, extensive scheduling, and robust time-and-attendance documentation systems.

    Tenure supports a long-standing market presence: the NPI was enumerated on 2007-12-14 (~19 years ago), indicating it has operated across multiple policy and rate environments. That longevity is relevant when assessing historical market share, contracting relationships, and likely operational processes for high-volume attendant care.

    From a payer-management perspective, the statistical label attached to S5125 — "notably above typical state volume for this code" — flags this provider as an outlier in utilization for attendant care. Contracting, utilization-management strategies, and focused claims review for S5125 should be prioritized if payers seek to understand cost drivers or manage risk associated with minute-based attendant services.

    Because all Medicaid revenue is tied to a single service code, the provider’s financial and operational risk profile is concentrated: reimbursement rate changes, prior-auth policy shifts, or adjustments to attendant-care definitions for S5125 could disproportionately affect revenue stability. Analysts should therefore weight any policy scenarios for S5125 heavily when modeling the provider’s future Medicaid performance.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes1,142,830$60$70.9M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes241,68050,290$60$9.5M

    Nearby Providers

    Other providers in the same ZIP code as Texas Home Health Of America, L.P., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Texas Home Health Of America, L.P.TXHome Health Agency$0$217.3M
    Epic Health Services, Inc.TXHome Health Agency$0$47.5M
    Texas Home Health Of America, L.P.TXHome Health Agency$0$39.1M
    Texas Home Health Of America, L.P.TXHome Health Agency$0$38.2M
    Texas Home Health Of America, L.P.TXHome Health Agency$0$17.8M
    Texas Home Health Of America, L.P.TXHome Health Agency$0$11.5M
    Leah EustaceTXSpeech-Language Pathologist$75.2K$0
    Hector QuinonesTXAnesthesiology Physician$53.1K$0
    Christopher SpillersTXAnesthesiology Physician$30.2K$0
    Evan ShragoTXAnesthesiology Physician$29K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Texas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Texas Home Health Of America, L.P. — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas