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
Flagged Providers
77
on risk watchlist
Avg Per Provider
$252.0M
across 40 providers
Yearly Spending Trend
Top Providers in Texas
Girling Health Care Inc.
Home Health · Austin
$858.2M
14.8M claims
Aoc TX LLC
Home Health · Sherman
$708.5M
1.6M claims
Consumer Directed Services in Texas Inc.
Supports Brokerage · San Antonio
$624.8M
3.4M claims
Caregivers Home Health TX INC
Nursing Care · Richardson
$477.7M
4.0M claims
Legacy Community Health Services, INC
Pediatrics · Houston
$406.5M
4.9M claims
Advance Hi-tech Nursing Inc.
Technician Personal Care Attendant · San Antonio
$399.8M
6.3M claims
Texas Department of State Health
Clinical Medical Laboratory · Austin
$381.9M
2.7M claims
Disability Services of the Southwest, INC
Day Training, Developmentally Disabled Services · San Antonio
$302.3M
3.1M claims
Cook Children's Medical Center
General Acute Care Hospital Children · Fort Worth
$286.7M
1.1M claims
Texas Children's Hospital
General Acute Care Hospital Children · Houston
$277.3M
1.8M claims
Quest Diagnostics Clinical Laboratories INC
Clinical Medical Laboratory · Irving
$276.8M
26.9M claims
Children's Health System of Texas
General Acute Care Hospital Children · Dallas
$263.8M
1.4M claims
In-home Attendant Services Ltd.
Technician Personal Care Attendant · Houston
$261.2M
4.0M claims
Chartwell Community Services Inc.
Home Health · Arlington
$253.4M
4.5M claims
Hhsc Wic Program
Pharmacy · Austin
$244.6M
1.7M claims
Legacy Home Health Agency, Inc.
Home Health · Corpus Christi
$244.2M
4.3M claims
Daybreak Community Services Texas LLC
Community Based Residential Treatment Facility In · Fort Worth
$243.2M
2.3M claims
Texas Home Health of America L.p.
Home Health · Dallas
$216.3M
4.0M claims
Saint Benedicts Home Health, Inc.
Day Training, Developmentally Disabled Services · Robstown
$201.0M
3.9M claims
Healthtrackrx Indiana, INC
Clinical Medical Laboratory · Denton
$186.0M
6.7M claims
Medco Respiratory Instruments, Inc.
Durable Medical Equipment & Medical Supplies · Houston
$171.6M
1.6M claims
Astrocare Class, Inc.
Home Health · Houston
$168.0M
1.3M claims
First Primary Home Care, INC
Hospice Care, Community Based · Harlingen
$161.0M
2.6M claims
Texas Children's Physician Group
Pediatrics · Houston
$160.8M
2.5M claims
Topcare Medical Group INC
Pediatrics · Dallas
$160.4M
8.4M claims
Clinical Pathology Laboratories, Inc.
Clinical Medical Laboratory · Austin
$159.4M
17.8M claims
Alamo Consumer Direct, LLC
Supports Brokerage · Austin
$158.8M
2.6M claims
Eak Good Neighbor Properties
Day Training, Developmentally Disabled Services · Mount Vernon
$154.6M
1.9M claims
Dallas County Hospital District
Clinic/Center, Ambulatory Surgical · Dallas
$152.6M
3.3M claims
University of Texas Medical Branch at Galveston
Clinic/Center, Ambulatory Surgical · Galveston
$150.3M
2.8M claims
Jhc Operations LLC
Home Health · Mount Vernon
$148.9M
2.8M claims
Barrio Comprehensive Family Health Care Center, Inc.
Clinic/Center, Multi-Specialty · San Antonio
$148.0M
2.3M claims
Alegre Home Health Care LLC
Nursing Care · Mission
$146.5M
2.5M claims
Tenderheart Health Outcomes, Inc.
Durable Medical Equipment & Medical Supplies, Pare · Austin
$145.2M
6.7M claims
Texas Visiting Nurse Service, Ltd.
Emergency Response System Companies · Harlingen
$137.7M
1.9M claims
Vivicare Health Partners, LLC
Nursing Care · Fort Worth
$133.2M
287K claims
Driscoll Childrens Hospital
Speech-Language Pathologist, · Corpus Christi
$133.1M
973K claims
Berry Family Services
Case Management · Rowlett
$128.7M
1.0M claims
Mcallen Hospitals L P
General Acute Care Hospital · Edinburg
$124.6M
1.3M claims
Apple Homecare Medical Supply LLC
Durable Medical Equipment & Medical Supplies, Cust · Richardson
$123.3M
1.1M claims
Flagged Providers in Texas
Cook Children's Medical Center
$286.7M
3 flags
Texas Children's Hospital
$277.3M
3 flags
Aoc Tx LLC
$708.5M
2 flags
Legacy Community Health Services, INC
$406.5M
2 flags
Texas Department of State Health
$370.5M
2 flags
Children's Health System of Texas
$263.8M
2 flags
Daybreak Community Services Texas LLC
$243.2M
2 flags
Miracle Hands Healthcare Services
$66.0M
2 flags
Mcallen Hospitals L P
$62.9M
2 flags
Consumer Directed Services in Texas Inc.
$624.8M
1 flag
Showing 10 of 77 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Texas
| Code | Total 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 |