Medicaid Provider Spending Explorer

T-MSIS provider-level spending data, Jan 2018 – Dec 2024

Data note: November and December 2024 data may be incomplete due to CMS reporting delays (typically 3–6 months for full coverage). Learn more
← All Procedures

S5125Private Payer

Attendant care service /15m

Total Paid

$31.34B

$31,342,185,586

Beneficiaries

19.4M

19,413,061

Avg $/Claim

$79

Median: $64

Utilization

20.5 claims/bene

4,555 providers

Monthly Spending

Total payments per month (nominal $)

Cost per Claim

Average cost per claim per month (nominal $)

Beneficiaries

Unique beneficiaries per month

Top Providers for This Procedure

Each dot is a provider. X = cost index (vs procedure median). Y = total spending.

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Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1053321869

GIRLING HEALTH CARE, INC.

TX$798.0M$57vs $64 med0.90x13,959,151689,776
2
1720145378

ACUMEN FISCAL AGENT LLC

AZ$676.0M$99vs $64 med1.55x6,851,514282,879
3
1932541729

PUBLIC PARTNERSHIPS LLC

GA$448.1M$86vs $64 med1.34x5,239,085188,408
4
1770795536

MISSISSIPPI DEPARTMENT OF REHABILITAION SVS

MS$295.6M$469vs $64 med7.35x630,769161,454
5
1962432682

ADVANCE HI-TECH NURSING, INC.

TX$289.8M$67vs $64 med1.05x4,317,644186,709
6
1710176151

GUARDIANTRAC. LLC

MI$262.5M$65vs $64 med1.01x4,067,945156,672
7
1932721834

ARION CARE SOLUTIONS, LLC

AZ$261.7M$122vs $64 med1.91x2,150,375106,447
8
1174661078

ABILITY360, INC,

AZ$258.4M$158vs $64 med2.48x1,631,081117,772
9
1689652166

LEGACY HOME HEALTH AGENCY, INC.

TX$238.7M$57vs $64 med0.89x4,184,143173,714
10
1366580706

CHARTWELL COMMUNITY SERVICES, INC.

TX$236.5M$57vs $64 med0.89x4,180,274168,018
11
1184827990

INSTANT CARE OF ARIZONA

AZ$220.9M$126vs $64 med1.97x1,757,49287,396
12
1689682932

TEXAS HOME HEALTH OF AMERICA, L.P.

TX$206.6M$54vs $64 med0.84x3,843,290160,979
13
1417262056

PUBLIC PARTNERSHIPS LLC

NY$205.2M$79vs $64 med1.24x2,594,717119,649
14
1699896316

REM COMMUNITY OPTIONS, INC.

WV$188.4M$3,739vs $64 med58.61x50,38325,005
15
1205033289

SAINT BENEDICTS HOME HEALTH, INC.

TX$184.6M$53vs $64 med0.83x3,476,503136,683
16
1184780629

VOCA CORPORATION OF WEST VIRGINIA, INC.

WV$160.0M$3,655vs $64 med57.30x43,77617,855
17
1063568764

JHC OPERATIONS, LLC

TX$146.3M$53vs $64 med0.82x2,779,634115,525
18
1255496220

RSCR WEST VIRGINIA, INC.

WV$144.1M$3,362vs $64 med52.71x42,85516,321
19
1669667150

ALEGRE HOME HEALTH CARE LLC

TX$141.5M$59vs $64 med0.93x2,392,632104,469
20
1396716858

HEALTH MANAGMENT OF KANSAS, INC.

KS$138.3M$82vs $64 med1.29x1,686,094103,010
21
1215021019

CREATIVE NETWORKS, L.L.C.

AZ$130.1M$102vs $64 med1.60x1,272,12056,630
22
1124215785

MISSISSIPPI DEPARTMENT OF REHABILITAION SERVICES

MS$122.3M$598vs $64 med9.38x204,55355,759
23
1467523746

IN-HOME ATTENDANT SERVICES, LTD.

TX$120.9M$64vs $64 med1.00x1,902,91374,574
24
1386854370

ARIZONA CONSUMER DIRECT PERSONAL CARE

AZ$112.3M$317vs $64 med4.96x354,72859,985
25
1578510137

FIRST PRIMARY HOME CARE, INC

TX$109.4M$53vs $64 med0.83x2,072,70885,790

50 rows · Page 1 of 2

State Breakdown

Each dot is a state. X = average cost per claim. Y = total spending.

Drag to zoom into a region

State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1TX$15.92B$59270,936,15912,156,7341,678
2LA$3.55B$14025,317,714882,659487
3AZ$3.47B$12328,109,0411,746,480223
4WV$1.31B$7451,760,824203,57343
5NC$1.19B$10311,556,358470,332400
6KS$1.17B$10611,007,706711,080197
7RI$650.8M$1195,489,418284,19583
8TN$603.4M$1145,306,023282,366154
9MS$563.6M$3361,676,253284,37618
10GA$477.7M$875,515,063202,2034
11NY$346.1M$973,573,430181,83361
12MI$262.5M$654,067,945156,6721
13NM$191.4M$1051,829,612120,10845
14MA$186.3M$297626,89263,47140
15IN$167.7M$1411,190,851144,043109
16ME$149.4M$161929,49046,8712
17MN$139.9M$1331,055,11665,94927
18AR$130.7M$801,625,337102,58175
19AK$112.8M$1081,048,90744,99321
20ID$102.1M$109933,88967,08344
21DE$99.6M$135738,05336,15523
22WI$96.3M$128,104,513578,089296
23IA$70.7M$73973,393133,64585
24HI$50.1M$63978,34110,75317
25PA$48.3M$85565,18227,5164

45 rows · Page 1 of 2