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Girling Health Care Inc.

Home Health·Austin, TX·NPI: 1053321869Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $858.2M is at the 90th percentile among 322 Home Health providers.

Above 90th percentile for this specialty — higher spending than 289 of 322 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$858.2M

$858,202,022

Total Claims

14.8M

Beneficiaries

774K

19.1 claims/patient

Avg Cost/Claim

$58

#47 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Girling Health Care Inc. is a Home Health provider based in Austin, TX. From the 2018–2024 period, this provider received $858.2M in Medicaid payments across 14.8M claims.

Why This Matters

This provider received $858.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 107,275 Medicaid beneficiaries for a full year at average per-enrollee costs.

196% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$51.4M
+3%
2019
$52.7M
+82%
2020
$95.8M
+82%
2021
$174.1M
-2%
2022
$169.8M
-5%
2023
$162.0M
-6%
2024
$152.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 93% of total spending.

S5125Normal range

Attendant care services, per 15 min

$798.0M

14.0M claims · 93.0%

Your Cost: $57.17/claim|Median: $82.34
0.7× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$27.2M

367K claims · 3.2%

Your Cost: $74.16/claim|Median: $137.32
0.5× median
T1019Normal range

Personal care services, per 15 min

$11.9M

235K claims · 1.4%

Your Cost: $50.40/claim|Median: $82.47
0.6× median
T1005Normal range

Respite care services, per 15 minutes

$9.5M

190K claims · 1.1%

Your Cost: $50.07/claim|Median: $71.40
0.7× median
T2022Normal range

Case management, per month

$7.0M

39K claims · 0.8%

Your Cost: $179.40/claim|Median: $202.77
0.9× median
S5165Top 25%

Home modifications, per service

$4.0M

791 claims · 0.5%

Your Cost: $5,034.44/claim|Median: $2,196.32
2.3× median
G9006Top 5%

Coordination of long-term care services, per hour

$421K

718 claims · 0.0%

Your Cost: $586.90/claim|Median: $204.93
2.9× median
S9124Normal range

Nursing care, in the home; per hour

$179K

5K claims · 0.0%

Your Cost: $32.84/claim|Median: $400.25
0.1× median