T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Private duty/independent nsg
Total Paid
$7.01B
$7,014,566,029
Beneficiaries
764K
764,197
Avg $/Claim
$418
Median: $450
Utilization
22.0 claims/bene
489 providers
Total payments per month (nominal $)
Average cost per claim per month (nominal $)
Unique beneficiaries per month
Each dot is a provider. X = cost index (vs procedure median). Y = total spending.
Drag to zoom into a region
| # | Provider | State | Total Paid▼ | $/Claim | Cost Index | Claims | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 1 | 1952346876 AOC TX, LLC | TX | $603.0M | $547vs $450 med | 1.22x | 1,101,374 | 45,646 |
| 2 | 1437458437 PHOENIX HOME CARE, LLC | MO | $199.6M | $272vs $450 med | 0.61x | 733,284 | 26,645 |
| 3 | 1306001623 VIVICARE HEALTH PARTNERS, LLC | TX | $122.4M | $477vs $450 med | 1.06x | 256,656 | 10,347 |
| 4 | 1629080254 D & D SERVICES INC | OK | $119.3M | $325vs $450 med | 0.72x | 366,566 | 18,959 |
| 5 | 1952614067 AGELESS LIVING HOME HEALTH LLC | TX | $102.6M | $459vs $450 med | 1.02x | 223,816 | 9,156 |
| 6 | 1548507296 CONNECT HOME HEALTH LLC | TX | $89.6M | $475vs $450 med | 1.06x | 188,690 | 7,223 |
| 7 | 1689699837 CRAIG RESOURCES LLC | KS | $80.5M | $611vs $450 med | 1.36x | 131,849 | 12,918 |
| 8 | 1174758478 INTELLICHOICE STAFFING LLC | NC | $79.5M | $411vs $450 med | 0.91x | 193,563 | 8,595 |
| 9 | 1568527810 ADVANTAGE NURSING SERVICES INC | IL | $79.2M | $336vs $450 med | 0.75x | 236,069 | 9,858 |
| 10 | 1336572692 HOPE PEDIATRICS LLC | TX | $76.5M | $498vs $450 med | 1.11x | 153,624 | 4,882 |
| 11 | 1578739769 EPIC HEALTH SERVICES, INC. | TX | $71.7M | $467vs $450 med | 1.04x | 153,338 | 6,492 |
| 12 | 1790926574 EPIC HEALTH SERVICES, INC. | TX | $71.5M | $458vs $450 med | 1.02x | 156,035 | 6,500 |
| 13 | 1740428002 MIRACLE HANDS HEALTHCARE SERVICES | TX | $66.0M | $701vs $450 med | 1.56x | 94,035 | 2,815 |
| 14 | 1285742593 MAXIM HEALTHCARE SERVICES, INC. | KS | $64.4M | $504vs $450 med | 1.12x | 127,790 | 6,381 |
| 15 | 1053641498 CENTRIA HEALTHCARE LLC | MI | $62.5M | $367vs $450 med | 0.82x | 170,229 | 8,477 |
| 16 | 1306800172 MAXIM HEALTHCARE SERVICES, INC. | OH | $61.9M | $316vs $450 med | 0.70x | 195,871 | 8,189 |
| 17 | 1669700647 EPIC HEALTH SERVICES, INC. | TX | $61.8M | $471vs $450 med | 1.05x | 131,325 | 4,900 |
| 18 | 1417271859 NESTAR MED CARE LLC | TX | $61.2M | $605vs $450 med | 1.34x | 101,232 | 2,919 |
| 19 | 1740316561 PYRA MED HEALTH SERVICES, LLC | TX | $60.1M | $437vs $450 med | 0.97x | 137,571 | 5,665 |
| 20 | 1952625048 EPIC HEALTH SERVICES, INC. | TX | $59.3M | $470vs $450 med | 1.04x | 126,206 | 4,422 |
| 21 | 1205163185 MISSION MEDSTAFF, LLC | NC | $49.9M | $414vs $450 med | 0.92x | 120,658 | 5,868 |
| 22 | 1821413287 PEDIATRIC PRIVATE DUTY NURSING, INC | TX | $48.8M | $489vs $450 med | 1.09x | 99,774 | 3,377 |
| 23 | 1073837514 MGA HEALTHCARE TEXAS, LLC | TX | $47.6M | $511vs $450 med | 1.13x | 93,156 | 3,938 |
| 24 | 1427588326 ENTRUSTED PEDIATRIC HOME CARE L.L.C. | TX | $46.7M | $510vs $450 med | 1.13x | 91,552 | 3,566 |
| 25 | 1205371721 FIRST CHOICE CHILDREN'S HOMECARE, LP | KS | $44.8M | $376vs $450 med | 0.84x | 119,202 | 5,953 |
50 rows · Page 1 of 2
Each dot is a state. X = average cost per claim. Y = total spending.
Drag to zoom into a region
| # | State | Total Paid▼ | Avg $/Claim | Claims | Beneficiaries | Providers |
|---|---|---|---|---|---|---|
| 1 | TX | $3.42B | $493 | 6,938,925 | 279,343 | 140 |
| 2 | NC | $1.15B | $404 | 2,853,793 | 114,021 | 72 |
| 3 | OH | $485.6M | $273 | 1,776,807 | 75,133 | 58 |
| 4 | MO | $338.9M | $296 | 1,146,063 | 45,710 | 17 |
| 5 | KS | $298.7M | $480 | 621,873 | 40,365 | 14 |
| 6 | MI | $224.4M | $376 | 597,368 | 28,972 | 16 |
| 7 | OK | $218.9M | $353 | 620,565 | 32,996 | 9 |
| 8 | WA | $176.2M | $485 | 363,180 | 17,739 | 14 |
| 9 | CO | $126.6M | $625 | 202,627 | 7,678 | 15 |
| 10 | TN | $92.1M | $566 | 162,678 | 7,275 | 12 |
| 11 | IL | $79.2M | $336 | 236,069 | 9,858 | 1 |
| 12 | UT | $77.5M | $346 | 224,082 | 9,432 | 7 |
| 13 | WV | $42.9M | $372 | 115,363 | 5,007 | 3 |
| 14 | DC | $39.6M | $370 | 107,184 | 2,852 | 5 |
| 15 | PA | $36.3M | $571 | 63,500 | 2,934 | 10 |
| 16 | NM | $31.3M | $537 | 58,193 | 6,007 | 5 |
| 17 | RI | $28.9M | $309 | 93,506 | 4,169 | 2 |
| 18 | IN | $28.4M | $351 | 80,883 | 3,646 | 2 |
| 19 | KY | $28.0M | $317 | 88,470 | 4,397 | 2 |
| 20 | SD | $17.6M | $119 | 147,809 | 43,352 | 28 |
| 21 | NJ | $16.8M | $469 | 35,769 | 1,569 | 9 |
| 22 | FL | $14.1M | $266 | 52,969 | 2,249 | 4 |
| 23 | NE | $4.0M | $540 | 7,349 | 464 | 1 |
| 24 | NY | $3.0M | $628 | 4,851 | 215 | 4 |
| 25 | CA | $2.2M | $121 | 18,471 | 1,306 | 2 |
32 rows · Page 1 of 2