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Texas Visiting Nurse Service, Ltd.

Emergency Response System Companies·Harlingen, TX·NPI: 1790735827Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$137.7M

$137,681,858

Total Claims

1.9M

Beneficiaries

94K

20.5 claims/patient

Avg Cost/Claim

$71

#812 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Texas Visiting Nurse Service, Ltd. is a Emergency Response System Companies provider based in Harlingen, TX. From the 2018–2024 period, this provider received $137.7M in Medicaid payments across 1.9M claims.

Why This Matters

This provider received $137.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,210 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 89% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$11.8M
-2%
2019
$11.5M
+31%
2020
$15.2M
+83%
2021
$27.7M
-12%
2022
$24.3M
+2%
2023
$24.8M
-10%
2024
$22.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 58% of total spending.

S5125Normal range

Attendant care services, per 15 min

$79.2M

1.4M claims · 57.5%

Your Cost: $58.50/claim|Median: $82.34
0.7× median
T2026Normal range

Specialized transportation, waiver, per trip

$44.0M

282K claims · 32.0%

Your Cost: $156.32/claim|Median: $170.05
0.9× median
T1005Normal range

Respite care services, per 15 minutes

$4.4M

99K claims · 3.2%

Your Cost: $44.43/claim|Median: $71.40
0.6× median
T1019Normal range

Personal care services, per 15 min

$3.5M

105K claims · 2.6%

Your Cost: $33.79/claim|Median: $82.47
0.4× median
G0100Normal range

$2.9M

45K claims · 2.1%

Your Cost: $65.46/claim|Median: $82.82
0.8× median
T2017Normal range

Habilitation, residential, waiver; 15 min

$1.6M

29K claims · 1.2%

Your Cost: $55.50/claim|Median: $137.32
0.4× median
97124Top 1%

$1.3M

2K claims · 0.9%

Your Cost: $617.98/claim|Median: $17.78
34.8× median
S5199Top 25%

Personal care item, NOS, each

$193K

3K claims · 0.1%

Your Cost: $64.08/claim|Median: $10.82
5.9× median
S5161Normal range

Emergency response system, per month

$176K

6K claims · 0.1%

Your Cost: $28.14/claim|Median: $29.97
0.9× median
G0151Top 1%

Physical therapy services, home health, per visit

$132K

235 claims · 0.1%

Your Cost: $561.94/claim|Median: $67.94
8.3× median
G0648Top 25%

$99K

2K claims · 0.1%

Your Cost: $47.68/claim|Median: $13.92
3.4× median
T1002Normal range

RN services, per 15 minutes

$50K

928 claims · 0.0%

Your Cost: $53.60/claim|Median: $37.42
1.4× median
G0152Top 1%

Occupational therapy services, home health, per visit

$11K

26 claims · 0.0%

Your Cost: $429.98/claim|Median: $68.93
6.2× median
D9999Top 10%

Unspecified adjunctive procedure, by report

$5K

12 claims · 0.0%

Your Cost: $393.21/claim|Median: $37.60
10.5× median
T2024Normal range

Supported employment, waiver, per diem

$3K

263 claims · 0.0%

Your Cost: $12.91/claim|Median: $259.38
0.1× median

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