Is DAISY CHILDRENS HOMEHEALTH LLC flagged for Medicaid fraud?

DAISY CHILDRENS HOMEHEALTH LLC (NPI: 1790085934) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does DAISY CHILDRENS HOMEHEALTH LLC bill Medicaid?

DAISY CHILDRENS HOMEHEALTH LLC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Home Health provider. Located in HOUSTON, TX.

What is NPI 1790085934?

NPI 1790085934 is the National Provider Identifier for DAISY CHILDRENS HOMEHEALTH LLC. They are a Home Health provider based in HOUSTON, TX. This NPI is registered with the CMS NPI Registry.

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DAISY CHILDRENS HOMEHEALTH LLC

Home Health·HOUSTON, TX·NPI: 1790085934Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $55.6M is at the below 25th percentile among 322 Home Health providers.

Active Billing Period:2018-02→2024-12(57 months)

Total Paid

$55.6M

$55,577,707

Total Claims

465K

Beneficiaries

79K

5.9 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2018

$11K

+28012%

2020

$3.1M

+326%

2021

$13.3M

+1%

2022

$13.4M

+2%

2023

$13.7M

-12%

2024

$12.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 34% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

97530Therapeutic activities, each 15 minSee all providers →

$18.9M

189K claims

$100.08

$33.11

3.0×

Top 10%

97530Top 10%

Therapeutic activities, each 15 min

$18.9M

189K claims · 34.0%

Your Cost: $100.08/claim|Median: $33.11

3.0× median

T1000Private duty/independent nursing service(s)See all providers →

$14.0M

36K claims

$387.64

$402.76

1.0×

Normal range

T1000Normal range

Private duty/independent nursing service(s)

$14.0M

36K claims · 25.2%

Your Cost: $387.64/claim|Median: $402.76

1.0× median

92507Speech/hearing/language treatmentSee all providers →

$12.3M

141K claims

$87.04

$49.45

1.8×

Top 10%

92507Top 10%

Speech/hearing/language treatment

$12.3M

141K claims · 22.0%

Your Cost: $87.04/claim|Median: $49.45

1.8× median

97110Therapeutic exercises, each 15 minSee all providers →

$9.3M

88K claims

$104.96

$24.49

4.3×

Top 5%

97110Top 5%

Therapeutic exercises, each 15 min

$9.3M

88K claims · 16.7%

Your Cost: $104.96/claim|Median: $24.49

4.3× median

97168OT re-evaluationSee all providers →

$394K

4,159 claims

$94.73

$50.43

1.9×

Top 25%

97168Top 25%

OT re-evaluation

$394K

4,159 claims · 0.7%

Your Cost: $94.73/claim|Median: $50.43

1.9× median

S9152Speech therapy, re-evaluationSee all providers →

$285K

2,666 claims

$106.79

$92.99

1.1×

Normal range

S9152Normal range

Speech therapy, re-evaluation

$285K

2,666 claims · 0.5%

Your Cost: $106.79/claim|Median: $92.99

1.1× median

97164PT re-evaluationSee all providers →

$180K

1,885 claims

$95.67

$32.66

2.9×

Top 10%

97164Top 10%

PT re-evaluation

$180K

1,885 claims · 0.3%

Your Cost: $95.67/claim|Median: $32.66

2.9× median

92523Evaluation of speech sound production with language comprehensionSee all providers →

$97K

618 claims

$156.87

$110.87

1.4×

Top 25%

92523Top 25%

Evaluation of speech sound production with language comprehension

$97K

618 claims · 0.2%

Your Cost: $156.87/claim|Median: $110.87

1.4× median

92526Treatment of swallowing dysfunction and/or oral functionSee all providers →

$77K

639 claims

$121.20

$49.74

2.4×

Top 10%

92526Top 10%

Treatment of swallowing dysfunction and/or oral function

$77K

639 claims · 0.1%

Your Cost: $121.20/claim|Median: $49.74

2.4× median

97166OT evaluation, moderate complexitySee all providers →

$50K

448 claims

$110.50

$48.74

2.3×

Top 25%

97166Top 25%

OT evaluation, moderate complexity

$50K

448 claims · 0.1%

Your Cost: $110.50/claim|Median: $48.74

2.3× median

97167OT evaluation, high complexitySee all providers →

$43K

400 claims

$106.71

$70.96

1.5×

Normal range

97167Normal range

OT evaluation, high complexity

$43K

400 claims · 0.1%

Your Cost: $106.71/claim|Median: $70.96

1.5× median

97162PT evaluation, moderate complexitySee all providers →

$33K

284 claims

$114.83

$46.10

2.5×

Top 10%

97162Top 10%

PT evaluation, moderate complexity

$33K

284 claims · 0.1%

Your Cost: $114.83/claim|Median: $46.10

2.5× median

92521Evaluation of speech fluencySee all providers →

$1K

12 claims

$98.94

$31.97

3.1×

Top 10%

92521Top 10%

Evaluation of speech fluency

$1K

12 claims · 0.0%

Your Cost: $98.94/claim|Median: $31.97

3.1× median

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