Is MEDICAL INSIGHTS & CARE UNLIMITED, L.P. flagged for Medicaid fraud?

MEDICAL INSIGHTS & CARE UNLIMITED, L.P. (NPI: 1790871788) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does MEDICAL INSIGHTS & CARE UNLIMITED, L.P. bill Medicaid?

MEDICAL INSIGHTS & CARE UNLIMITED, L.P. received $0.0B 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 1790871788?

NPI 1790871788 is the National Provider Identifier for MEDICAL INSIGHTS & CARE UNLIMITED, L.P.. They are a Home Health provider based in HOUSTON, TX. This NPI is registered with the CMS NPI Registry.

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MEDICAL INSIGHTS & CARE UNLIMITED, L.P.

Home Health·HOUSTON, TX·NPI: 1790871788Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.5M is at the below 25th percentile among 322 Home Health providers.

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

Total Paid

$43.5M

$43,540,989

Total Claims

763K

Beneficiaries

33K

23.2 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018

$867K

+3%

2019

$897K

+238%

2020

$3.0M

+232%

2021

$10.1M

-6%

2022

$9.5M

-0%

2023

$9.4M

+3%

2024

$9.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 92% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5125Attendant care services, per 15 minSee all providers →

$39.9M

693K claims

$57.57

$82.34

0.7×

Normal range

S5125Normal range

Attendant care services, per 15 min

$39.9M

693K claims · 91.7%

Your Cost: $57.57/claim|Median: $82.34

0.7× median

T1005Respite care services, per 15 minutesSee all providers →

$2.9M

61K claims

$47.19

$71.40

0.7×

Normal range

T1005Normal range

Respite care services, per 15 minutes

$2.9M

61K claims · 6.6%

Your Cost: $47.19/claim|Median: $71.40

0.7× median

G0299Skilled nursing services, home health, per visit, RNSee all providers →

$400K

4,491 claims

$89.13

$51.67

1.7×

Top 25%

G0299Top 25%

Skilled nursing services, home health, per visit, RN

$400K

4,491 claims · 0.9%

Your Cost: $89.13/claim|Median: $51.67

1.7× median

G0300Skilled nursing services, home health, per visit, LPNSee all providers →

$242K

2,661 claims

$91.06

$45.50

2.0×

Top 25%

G0300Top 25%

Skilled nursing services, home health, per visit, LPN

$242K

2,661 claims · 0.6%

Your Cost: $91.06/claim|Median: $45.50

2.0× median

97110Therapeutic exercises, each 15 minSee all providers →

$71K

865 claims

$82.06

$24.49

3.4×

Top 10%

97110Top 10%

Therapeutic exercises, each 15 min

$71K

865 claims · 0.2%

Your Cost: $82.06/claim|Median: $24.49

3.4× median

97535Self-care/home management training, per 15 minutesSee all providers →

$17K

470 claims

$36.68

$18.18

2.0×

Top 25%

97535Top 25%

Self-care/home management training, per 15 minutes

$17K

470 claims · 0.0%

Your Cost: $36.68/claim|Median: $18.18

2.0× median

97112Therapeutic procedure, neuromuscular reeducation, per 15 minutesSee all providers →

$10K

290 claims

$35.23

$20.04

1.8×

Top 25%

97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$10K

290 claims · 0.0%

Your Cost: $35.23/claim|Median: $20.04

1.8× median

97116Gait trainingSee all providers →

$8K

221 claims

$36.07

$12.48

2.9×

Top 25%

97116Top 25%

Gait training

$8K

221 claims · 0.0%

Your Cost: $36.07/claim|Median: $12.48

2.9× median

97163PT evaluation, high complexitySee all providers →

$5K

52 claims

$102.22

$50.34

2.0×

Top 25%

97163Top 25%

PT evaluation, high complexity

$5K

52 claims · 0.0%

Your Cost: $102.22/claim|Median: $50.34

2.0× median

97164PT re-evaluationSee all providers →

$2K

31 claims

$73.63

$32.66

2.3×

Top 25%

97164Top 25%

PT re-evaluation

$2K

31 claims · 0.0%

Your Cost: $73.63/claim|Median: $32.66

2.3× median

A4927Gloves, non-sterile, per 100See all providers →

$123

26 claims

$4.73

$12.90

0.4×

Normal range

A4927Normal range

Gloves, non-sterile, per 100

$123

26 claims · 0.0%

Your Cost: $4.73/claim|Median: $12.90

0.4× median

A4245 See all providers →

$90

50 claims

$1.79

$2.33

0.8×

Normal range

A4245Normal range

$90

50 claims · 0.0%

Your Cost: $1.79/claim|Median: $2.33

0.8× median

A4928 See all providers →

$31

27 claims

$1.14

$12.07

0.1×

Normal range

A4928Normal range

$31

27 claims · 0.0%

Your Cost: $1.14/claim|Median: $12.07

0.1× median

Q5001Injection, filgrastim-sndz, biosimilar, 1 mcgSee all providers →

56 claims

$0.00

$23.43

—

Normal range

Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43

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