Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

TX#6 of 49 states

Texas Medicaid Spending

Texas's Medicaid program paid $10.08B across 40 providers from 2018–2024. 77 providers in Texas are flagged on our risk watchlist. The top procedure code is S5125 (Attendant care services, per 15 min) at $2.65B.

Total Spending

$10.08B

Total Claims

169.1M

Top Providers

40

Beneficiaries

89.4M

Largest Provider

Girling Health Care Inc.

$858.2M

Top Procedure

S5125

$2.65B

Flagged Providers

77

on risk watchlist

Avg Per Provider

$252.0M

across 40 providers

Yearly Spending Trend

Top Providers in Texas

1

Girling Health Care Inc.

Home Health · Austin

$858.2M

14.8M claims

2

Aoc TX LLC

Home Health · Sherman

$708.5M

1.6M claims

3

Consumer Directed Services in Texas Inc.

Supports Brokerage · San Antonio

$624.8M

3.4M claims

4

Caregivers Home Health TX INC

Nursing Care · Richardson

$477.7M

4.0M claims

5

Legacy Community Health Services, INC

Pediatrics · Houston

$406.5M

4.9M claims

6

Advance Hi-tech Nursing Inc.

Technician Personal Care Attendant · San Antonio

$399.8M

6.3M claims

7

Texas Department of State Health

Clinical Medical Laboratory · Austin

$381.9M

2.7M claims

8

Disability Services of the Southwest, INC

Day Training, Developmentally Disabled Services · San Antonio

$302.3M

3.1M claims

9

Cook Children's Medical Center

General Acute Care Hospital Children · Fort Worth

$286.7M

1.1M claims

10

Texas Children's Hospital

General Acute Care Hospital Children · Houston

$277.3M

1.8M claims

11

Quest Diagnostics Clinical Laboratories INC

Clinical Medical Laboratory · Irving

$276.8M

26.9M claims

12

Children's Health System of Texas

General Acute Care Hospital Children · Dallas

$263.8M

1.4M claims

13

In-home Attendant Services Ltd.

Technician Personal Care Attendant · Houston

$261.2M

4.0M claims

14

Chartwell Community Services Inc.

Home Health · Arlington

$253.4M

4.5M claims

15

Hhsc Wic Program

Pharmacy · Austin

$244.6M

1.7M claims

16

Legacy Home Health Agency, Inc.

Home Health · Corpus Christi

$244.2M

4.3M claims

17

Daybreak Community Services Texas LLC

Community Based Residential Treatment Facility In · Fort Worth

$243.2M

2.3M claims

18

Texas Home Health of America L.p.

Home Health · Dallas

$216.3M

4.0M claims

19

Saint Benedicts Home Health, Inc.

Day Training, Developmentally Disabled Services · Robstown

$201.0M

3.9M claims

20

Healthtrackrx Indiana, INC

Clinical Medical Laboratory · Denton

$186.0M

6.7M claims

21

Medco Respiratory Instruments, Inc.

Durable Medical Equipment & Medical Supplies · Houston

$171.6M

1.6M claims

22

Astrocare Class, Inc.

Home Health · Houston

$168.0M

1.3M claims

23

First Primary Home Care, INC

Hospice Care, Community Based · Harlingen

$161.0M

2.6M claims

24

Texas Children's Physician Group

Pediatrics · Houston

$160.8M

2.5M claims

25

Topcare Medical Group INC

Pediatrics · Dallas

$160.4M

8.4M claims

26

Clinical Pathology Laboratories, Inc.

Clinical Medical Laboratory · Austin

$159.4M

17.8M claims

27

Alamo Consumer Direct, LLC

Supports Brokerage · Austin

$158.8M

2.6M claims

28

Eak Good Neighbor Properties

Day Training, Developmentally Disabled Services · Mount Vernon

$154.6M

1.9M claims

29

Dallas County Hospital District

Clinic/Center, Ambulatory Surgical · Dallas

$152.6M

3.3M claims

30

University of Texas Medical Branch at Galveston

Clinic/Center, Ambulatory Surgical · Galveston

$150.3M

2.8M claims

31

Jhc Operations LLC

Home Health · Mount Vernon

$148.9M

2.8M claims

32

Barrio Comprehensive Family Health Care Center, Inc.

Clinic/Center, Multi-Specialty · San Antonio

$148.0M

2.3M claims

33

Alegre Home Health Care LLC

Nursing Care · Mission

$146.5M

2.5M claims

34

Tenderheart Health Outcomes, Inc.

Durable Medical Equipment & Medical Supplies, Pare · Austin

$145.2M

6.7M claims

35

Texas Visiting Nurse Service, Ltd.

Emergency Response System Companies · Harlingen

$137.7M

1.9M claims

36

Vivicare Health Partners, LLC

Nursing Care · Fort Worth

$133.2M

287K claims

37

Driscoll Childrens Hospital

Speech-Language Pathologist, · Corpus Christi

$133.1M

973K claims

38

Berry Family Services

Case Management · Rowlett

$128.7M

1.0M claims

39

Mcallen Hospitals L P

General Acute Care Hospital · Edinburg

$124.6M

1.3M claims

40

Apple Homecare Medical Supply LLC

Durable Medical Equipment & Medical Supplies, Cust · Richardson

$123.3M

1.1M claims

Spending by Top Procedures

S5125Attendant care services, per 15 min$2.65B
T1000Private duty/independent nursing service(s)$725.4M
T2016Habilitation, residential, waiver; per diem$644.5M
T2026Specialized transportation, waiver, per trip$482.6M
T1015Clinic visit/encounter, all-inclusive$414.6M

Top Procedures in Texas

CodeTotal Paid
S5125

Attendant care services, per 15 min

$2.65B
T1000

Private duty/independent nursing service(s)

$725.4M
T2016

Habilitation, residential, waiver; per diem

$644.5M
T2026

Specialized transportation, waiver, per trip

$482.6M
T1015

Clinic visit/encounter, all-inclusive

$414.6M
S3620

Newborn metabolic screening panel

$370.5M
T1019

Personal care services, per 15 min

$279.0M
99284

Emergency dept visit, high complexity

$273.5M
H2016

Comprehensive community support services, per 15 min

$197.0M
B4161

Enteral formula, semisolid, 100 calories = 1 unit

$194.2M
99285

Emergency dept visit, high/urgent complexity

$178.5M
99213

Office/outpatient visit, est. patient, low-mod complexity

$171.9M
99283

Emergency dept visit, moderate complexity

$135.2M
T1005

Respite care services, per 15 minutes

$128.9M
T2017

Habilitation, residential, waiver; 15 min

$114.8M