Vivicare Health Partners, LLC
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $8.6M (2020) to $26.7M (2021) — a 211% swing with $18.1M absolute change.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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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.
Compared to Nursing Care Peers
Total spending distribution among 10 providers in this specialty
This provider's total spending of $133.2M is at the 50th percentile among 10 Nursing Care providers.
Total Paid
$133.2M
$133,233,374
Total Claims
287K
Beneficiaries
13K
21.9 claims/patient
Avg Cost/Claim
$464
#857 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Vivicare Health Partners, LLC is a Nursing Care provider based in Fort Worth, TX. From the 2018–2024 period, this provider received $133.2M in Medicaid payments across 287K claims.
Why This Matters
This provider received $133.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,654 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (T1000 (Private duty/independent nursing service(s))) accounts for 92% of total spending.
$122.4M
257K claims
$477.04
$402.76
Private duty/independent nursing service(s)
$122.4M
257K claims · 91.9%
$8.4M
19K claims
$440.07
$400.25
Nursing care, in the home; per hour
$8.4M
19K claims · 6.3%
$1.3M
6K claims
$226.80
$96.24
Comprehensive community support services, per 15 min
$1.3M
6K claims · 1.0%
Respite care services, per 15 minutes
$1.1M
6K claims · 0.8%
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