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ROYAL CARE INC.

Home Health·HOUSTON, TX·NPI: 1669485827Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.7M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$49.7M

$49,733,334

Total Claims

597K

Beneficiaries

28K

21.4 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+7%
2019
$1.6M
+105%
2020
$3.2M
+191%
2021
$9.3M
+20%
2022
$11.1M
+3%
2023
$11.5M
+2%
2024
$11.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 57% of total spending.

S5125Normal range

Attendant care services, per 15 min

$28.5M

437K claims · 57.3%

Your Cost: $65.21/claim|Median: $82.34
0.8× median
T1000Normal range

Private duty/independent nursing service(s)

$9.4M

21K claims · 18.9%

Your Cost: $457.44/claim|Median: $402.76
1.1× median
T1019Normal range

Personal care services, per 15 min

$4.3M

80K claims · 8.6%

Your Cost: $52.95/claim|Median: $82.47
0.6× median
T1005Normal range

Respite care services, per 15 minutes

$2.4M

33K claims · 4.8%

Your Cost: $72.27/claim|Median: $71.40
1.0× median
T2026Top 25%

Specialized transportation, waiver, per trip

$2.1M

3,077 claims · 4.3%

Your Cost: $697.30/claim|Median: $170.05
4.1× median
H2016Top 25%

Comprehensive community support services, per 15 min

$1.4M

936 claims · 2.9%

Your Cost: $1,546.24/claim|Median: $321.53
4.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.2M

14K claims · 2.4%

Your Cost: $83.88/claim|Median: $96.24
0.9× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$377K

7,374 claims · 0.8%

Your Cost: $51.19/claim|Median: $137.32
0.4× median
T2020Normal range

Day habilitation, waiver; per diem

$26K

748 claims · 0.1%

Your Cost: $34.28/claim|Median: $87.34
0.4× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$6K

62 claims · 0.0%

Your Cost: $95.35/claim|Median: $51.67
1.8× median
G0648Top 10%

$4K

51 claims · 0.0%

Your Cost: $86.19/claim|Median: $13.92
6.2× median
M0299Normal range

$3K

78 claims · 0.0%

Your Cost: $36.44/claim|Median: $34.98
1.0× median
T1002Top 10%

RN services, per 15 minutes

$3K

12 claims · 0.0%

Your Cost: $224.25/claim|Median: $37.42
6.0× median