Aoc TX LLC
Home Health
Sherman, Texas
NPI: 1952346876
Risk Tier
Critical
Total Paid
$708.5M
$708,513,856
Total Claims
1.6M
Beneficiaries
116K
Avg Cost/Claim
$435.70
Active billing period: 65 months (2019-07 to 2024-12)
Statistical Fraud Flags (3)
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $1.6M (2019) to $28.8M (2020) — a 1664% swing with $27.2M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 7 procedure codes: 92507 at 2.0× median, S9123 at 4.7× median.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 1664% from 2019 to 2020.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024