Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Jhc Operations LLC

Home Health·Mount Vernon, TX·NPI: 1063568764SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Billing Swing

Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Advanced Detection Signals

Additional statistical tests from advanced fraud detection methods

Change PointBilling shifted 15.5x in 2020-10

These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $148.9M is at the 50th percentile among 322 Home Health providers.

Active Billing Period:2020-052024-12(56 months)

Total Paid

$148.9M

$148,946,289

Total Claims

2.8M

Beneficiaries

118K

23.9 claims/patient

Avg Cost/Claim

$53

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

🔍 Analysis

Provider Overview

Jhc Operations LLC is a Home Health provider based in Mount Vernon, TX. From the 2018–2024 period, this provider received $148.9M in Medicaid payments across 2.8M claims.

Why This Matters

This provider received $148.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,618 Medicaid beneficiaries for a full year at average per-enrollee costs.

354% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2020
$7.6M
+387%
2021
$36.9M
-2%
2022
$36.0M
-6%
2023
$34.0M
+1%
2024
$34.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 98% of total spending.

S5125Normal range

Attendant care services, per 15 min

$146.3M

2.8M claims · 98.2%

Your Cost: $52.63/claim|Median: $82.34
0.6× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$1.8M

24K claims · 1.2%

Your Cost: $74.19/claim|Median: $137.32
0.5× median
T1005Normal range

Respite care services, per 15 minutes

$803K

13K claims · 0.5%

Your Cost: $60.84/claim|Median: $71.40
0.8× median
T1019Normal range

Personal care services, per 15 min

$95K

2K claims · 0.1%

Your Cost: $38.39/claim|Median: $82.47
0.5× median