Advance Hi-tech Nursing Inc.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $2.4M (2019) to $24.6M (2020) — a 924% swing with $22.2M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 924% from 2019 to 2020.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Total Paid
$399.8M
$399,821,249
Total Claims
6.3M
Beneficiaries
410K
15.5 claims/patient
Avg Cost/Claim
$63
#159 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Advance Hi-tech Nursing Inc. is a Technician Personal Care Attendant provider based in San Antonio, TX. From the 2018–2024 period, this provider received $399.8M in Medicaid payments across 6.3M claims.
Why This Matters
This provider received $399.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 49,977 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 8 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 72% of total spending.
$289.8M
4.3M claims
$67.13
$82.34
Attendant care services, per 15 min
$289.8M
4.3M claims · 72.5%
$36.7M
424K claims
$86.66
$137.32
Habilitation, residential, waiver; 15 min
$36.7M
424K claims · 9.2%
$25.8M
1.1M claims
$23.95
$108.97
Financial management, self-directed; per month
$25.8M
1.1M claims · 6.5%
$17.2M
280K claims
$61.41
$71.40
Respite care services, per 15 minutes
$17.2M
280K claims · 4.3%
$16.9M
42K claims
$400.59
$400.25
Nursing care, in the home; per hour
$16.9M
42K claims · 4.2%
$11.5M
185K claims
$61.94
$82.47
Personal care services, per 15 min
$11.5M
185K claims · 2.9%
$1.8M
20K claims
$89.28
$96.24
Comprehensive community support services, per 15 min
$1.8M
20K claims · 0.5%
Day habilitation, waiver; per 15 min
$0
53 claims · 0.0%
Other Top Providers in Texas
View all →Similar Providers
Other top providers in Technician Personal Care Attendant