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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 1689682932 · 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 3 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 EnumeratedAugust 3, 2006

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

    Payer SourceTotal Paid
    Medicaid$217.3M
    Medicare$0

    Key Findings

    This provider is effectively a single-payer Medicaid operator: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $217.3M, indicating that all reported public-payer activity on file is through Medicaid. Analysts should treat Medicaid as the de facto primary payer when assessing scale, utilization, and contracting exposure for this entity.

    Revenue is highly concentrated in a narrow set of service codes: the top three Medicaid codes (S5125, T2017, T1005) together account for 100.0% of this provider's reported Medicaid revenue. In particular, S5125 represents 95.5% of Medicaid revenue, with T2017 at 2.7% and T1005 at 1.8%, so any changes to reimbursement or utilization for those codes would materially affect overall revenue.

    The code mix points to a business model centered on personal attendant and waiver-based residential services rather than traditional skilled home health care. S5125 (Attendant care services; per 15 minutes) is the dominant line, while T2017 (Habilitation, residential, waiver; 15 minutes) and T1005 (Respite care services, up to 15 minutes) indicate substantial focus on waiver habilitation and respite support for individuals needing ongoing custodial or habilitative support.

    S5125 is an extreme statewide outlier and the primary revenue driver: the provider reported 3.8M claims, $54 avg paid/claim, and $207.5M revenue for S5125 (95.5% of this provider's total Medicaid revenue). It ranks #5 of 1678 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), signaling dominant scale in attendant care delivery relative to peers.

    T2017 and T1005 are meaningful secondary services but much smaller by revenue and present different competitive signals. T2017 recorded 82K claims, $71 avg paid/claim, and $5.8M revenue (2.7% of total) and ranks #8 of 55 providers in-state (87th percentile; typical, unremarkable volume), while T1005 recorded 87.2K claims, $45 avg paid/claim, and $3.9M revenue (1.8% of total) and ranks #11 of 564 providers in-state (98th percentile; notably above typical state volume for this code).

    Competitive standing is uneven across service lines: the provider is a major, high-volume statewide player for attendant care (S5125) but only a high-end or above-typical participant for respite and residential habilitation services. Rankings and percentiles indicate market dominance in one care segment and elevated but less dominant positioning in the others, which has implications for contracting leverage and regulatory scrutiny on high-volume codes.

    This provider has an established operational tenure: NPI enumerated 2006-08-03 (~20 years ago). The long enumeration history combined with concentrated, large-scale Medicaid billing suggests entrenched operational capacity and likely long-standing relationships with state Medicaid programs and managed care plans serving waiver populations.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes3,843,290$50$207.5M
    T2017Habilitation, residential, waiver; 15 minutes81,960$70$5.8M
    T1005Respite care services, up to 15 minutes87,200$50$3.9M

    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

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes51,68050,290$60$9.5M
    T2017Habilitation, residential, waiver; 15 minutes86019,340$80$3M
    T1005Respite care services, up to 15 minutes115608,490$50$842.3K

    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$70.9M
    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. — 2 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas