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Astrocare Class, Inc.

Home Health·Houston, TX·NPI: 1396812897Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $168.0M is at the 50th percentile among 322 Home Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$168.0M

$168,037,723

Total Claims

1.3M

Beneficiaries

154K

8.2 claims/patient

Avg Cost/Claim

$133

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

🔍 Analysis

Provider Overview

Astrocare Class, Inc. is a Home Health provider based in Houston, TX. From the 2018–2024 period, this provider received $168.0M in Medicaid payments across 1.3M claims.

Why This Matters

This provider received $168.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,004 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 71% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.9M
+8%
2019
$19.3M
-2%
2020
$19.0M
+26%
2021
$24.0M
+22%
2022
$29.2M
-4%
2023
$28.0M
+9%
2024
$30.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (T2026 (Specialized transportation, waiver, per trip)) accounts for 38% of total spending.

T2026Normal range

Specialized transportation, waiver, per trip

$64.5M

396K claims · 38.4%

Your Cost: $163.16/claim|Median: $170.05
1.0× median
T2016Normal range

Habilitation, residential, waiver; per diem

$38.3M

213K claims · 22.8%

Your Cost: $179.83/claim|Median: $331.94
0.5× median
H2032Top 25%

Activity therapy, per 15 minutes

$10.7M

52K claims · 6.4%

Your Cost: $207.08/claim|Median: $108.23
1.9× median
97124Top 10%

$9.4M

105K claims · 5.6%

Your Cost: $89.71/claim|Median: $17.78
5.0× median
T1019Normal range

Personal care services, per 15 min

$5.2M

68K claims · 3.1%

Your Cost: $77.17/claim|Median: $82.47
0.9× median
T2015Top 5%

Habilitation, prevocational, waiver, per diem

$4.8M

3,912 claims · 2.9%

Your Cost: $1,230.40/claim|Median: $88.27
13.9× median
S5125Normal range

Attendant care services, per 15 min

$4.5M

57K claims · 2.7%

Your Cost: $78.76/claim|Median: $82.34
1.0× median
T1005Normal range

Respite care services, per 15 minutes

$4.0M

47K claims · 2.4%

Your Cost: $85.82/claim|Median: $71.40
1.2× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.6M

43K claims · 2.1%

Your Cost: $84.05/claim|Median: $96.24
0.9× median
S9125Normal range

Respite care, in the home, per diem

$3.4M

39K claims · 2.0%

Your Cost: $86.42/claim|Median: $187.28
0.5× median
G0176Normal range

Activity therapy (group), per session

$3.0M

34K claims · 1.8%

Your Cost: $88.94/claim|Median: $85.09
1.0× median
G0100Normal range

$2.8M

32K claims · 1.6%

Your Cost: $85.44/claim|Median: $82.82
1.0× median
97113Top 5%

$2.6M

20K claims · 1.6%

Your Cost: $130.96/claim|Median: $51.02
2.6× median
G0648Normal range

$2.6M

69K claims · 1.5%

Your Cost: $37.80/claim|Median: $13.92
2.7× median
G0226Normal range

$2.3M

11K claims · 1.4%

Your Cost: $202.59/claim|Median: $204.14
1.0× median
T2040Normal range

Financial management, self-directed; per month

$1.6M

26K claims · 1.0%

Your Cost: $63.14/claim|Median: $108.97
0.6× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$1.1M

14K claims · 0.7%

Your Cost: $82.90/claim|Median: $137.32
0.6× median
G0151Normal range

Physical therapy services, home health, per visit

$773K

9,705 claims · 0.5%

Your Cost: $79.63/claim|Median: $67.94
1.2× median
G0152Normal range

Occupational therapy services, home health, per visit

$568K

7,731 claims · 0.3%

Your Cost: $73.48/claim|Median: $68.93
1.1× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$541K

3,069 claims · 0.3%

Your Cost: $176.32/claim|Median: $84.12
2.1× median
T1002Top 25%

RN services, per 15 minutes

$472K

3,064 claims · 0.3%

Your Cost: $154.01/claim|Median: $37.42
4.1× median
S8940Normal range

$316K

3,829 claims · 0.2%

Your Cost: $82.45/claim|Median: $95.40
0.9× median
T2029Top 5%

Specialized transportation, waiver, per mile, extra

$251K

163 claims · 0.1%

Your Cost: $1,540.20/claim|Median: $141.34
10.9× median
G0153Normal range

Services of SLP in home health, per 15 min

$141K

1,839 claims · 0.1%

Your Cost: $76.46/claim|Median: $101.43
0.8× median
T2001Normal range

Non-emergency transportation, patient attendant or aide

$127K

4,640 claims · 0.1%

Your Cost: $27.40/claim|Median: $19.61
1.4× median
D9999Top 1%

Unspecified adjunctive procedure, by report

$118K

121 claims · 0.1%

Your Cost: $971.88/claim|Median: $37.60
25.8× median
T2024Normal range

Supported employment, waiver, per diem

$109K

1,843 claims · 0.1%

Your Cost: $59.24/claim|Median: $259.38
0.2× median
S5151Normal range

Unskilled respite care, per diem

$12K

65 claims · 0.0%

Your Cost: $182.67/claim|Median: $249.18
0.7× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$5K

25 claims · 0.0%

Your Cost: $190.64/claim|Median: $106.70
1.8× median

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