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

T2026State Medicaid

Special childcare waiver/d

Total Paid

$818.6M

$818,575,264

Beneficiaries

242K

241,887

Avg $/Claim

$177

Median: $155

Utilization

19.1 claims/bene

50 providers

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
1700960580

DISABILITY SERVICES OF THE SOUTHWEST, INC

TX$173.7M$138vs $155 med0.89x1,262,63060,594
2
1689712481

CAREGIVERS HOME HEALTH TX INC

TX$163.5M$182vs $155 med1.18x897,68047,008
3
1396812897

ASTROCARE CLASS, INC.

TX$64.5M$163vs $155 med1.05x395,52718,226
4
1790735827

TEXAS VISITING NURSE SERVICE, LTD.

TX$44.0M$156vs $155 med1.01x281,75811,635
5
1346579265

AGUA CRISTALINA HOME CARE, LLC

TX$38.6M$151vs $155 med0.97x256,19310,065
6
1578510137

FIRST PRIMARY HOME CARE, INC

TX$36.8M$144vs $155 med0.93x255,77810,004
7
1336454461

A N D HOME HEALTHCARE LLC

TX$31.7M$710vs $155 med4.59x44,6878,601
8
1568591725

PERRYLEE HOME HEALTH CARE SERVICES, INC

TX$18.0M$978vs $155 med6.32x18,3945,354
9
1730587064

AMABLE HOME CARE LLC

TX$17.7M$885vs $155 med5.72x20,0443,343
10
1093172520

COMPASSION SUPPORT, LLC

TX$17.5M$163vs $155 med1.05x107,6274,055
11
1710178090

JAIMEL HEALTH CARE SERVICE LLC

TX$13.9M$1,527vs $155 med9.87x9,1353,165
12
1366522096

CAPROCK HOME HEALTH SERVICES, INC.

TX$13.7M$130vs $155 med0.84x104,9094,647
13
1194052670

DULCE ESPERANZA HOME HEALTH CARE L.L.C

TX$12.7M$172vs $155 med1.11x74,0333,102
14
1447692587

EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

TX$12.4M$203vs $155 med1.31x60,9473,086
15
1518144633

CAPROCK HOME HEALTH SERVICES, INC.

TX$10.8M$154vs $155 med0.99x70,4793,035
16
1083866321

FT BEND HOME HEALTHCARE, INC

TX$10.7M$211vs $155 med1.36x50,8462,998
17
1689821860

ALTA VISTA COMMUNITY CARE SERVICES, LLC

TX$10.7M$157vs $155 med1.01x68,3183,391
18
1295876829

AGAPE GROUP, INC.

TX$9.3M$228vs $155 med1.48x40,8962,488
19
1538127022

ESSENCE HEALTH CARE, INC.

TX$8.3M$170vs $155 med1.10x49,0532,299
20
1710353131

FOUR K HEALTH CARE, LLC

TX$8.0M$142vs $155 med0.92x56,7112,448
21
1336340157

EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

TX$7.8M$144vs $155 med0.93x53,9162,664
22
1699117705

EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

TX$7.7M$199vs $155 med1.29x38,8291,922
23
1023193380

STEPPING STONES HOME CARE SERVICES, LTD

TX$7.4M$121vs $155 med0.79x60,8192,271
24
1285705442

GULF COAST COMMUNITY HEALTH SERVICES, INC

TX$7.3M$941vs $155 med6.08x7,7562,147
25
1790127801

EDUCARE COMMUNITY LIVING CORPORATION - TEXAS

TX$6.6M$142vs $155 med0.92x46,4402,295

50 rows · Page 1 of 2

State Breakdown

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

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State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1TX$817.0M$1774,625,651240,89647
2WI$155K$374,2343382