Providers

HIGH PLAINS SENIOR CARE, LLC

NPI 1407989643, organization, Amarillo, TX, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00069, ranked 69 nationally.
score 65 of 100, rank 1377, $79K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameHIGH PLAINS SENIOR CARE, LLC (also HIGH PLAINS SENIOR CARE)
TypeOrganization
StatusActive
NPI issuedMarch 14, 2007, last updated September 3, 2025
Practice location1600 S COULTER ST BLDG F, Amarillo, TX 79106-1710, 806-355-1899
Authorized officialMOLLY MCDONALD (Chief Quality & Compliance Officer)
Specialties
Home Health (251E00000X, primary, license 015882 TX)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0493RN observation and assessment in home health each 15 min$00%$0.00$0.00 (top 5% from $148)too few months to rank
G0299Direct skilled nursing by RN in home health or hospice each 15 min$00%$0.00$151 (top 5% from $742)0th percentile
G0495RN training/education of patient or caregiver each 15 min$00%$0.00$0.00 (top 5% from $154)0th percentile
G0300Direct skilled nursing by LPN in home health or hospice each 15 min$00%$0.00$133 (top 5% from $1K)0th percentile
G0151PT in home health or hospice setting each 15 min$00%$0.00$203 (top 5% from $565)0th percentile
G0157PT assistant in home health or hospice setting each 15 min$00%$0.00$0.00 (top 5% from $388)too few months to rank
G0496LPN training/education of patient or caregiver each 15 min$00%$0.00$0.00 (top 5% from $16)0th percentile
Q5001Medicaid service code$00%$0.00$0.00 (top 5% from $3K)0th percentile

In this area

6 providers in Potter County, TX carry an indicator in the public record, with $924K at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 3.

tierproviderat stakewhy
3STATE OF TEXAS VETERANS LAND BOARD
Amarillo, TX, ranked 2083
$0
  • Part of provider network D1-00040, ranked 40 nationally.
3HEALTHCARE OF WEST TEXAS LLC
Amarillo, TX, ranked 2391
$0
  • Part of provider network D1-00062, ranked 62 nationally.
3A P HEALTH AND PALLIATIVE CARE, LLC
Amarillo, TX, ranked 2966
$0
  • Part of provider network D1-00069, ranked 69 nationally.
4JAMES RUSH
Amarillo, TX, ranked 8222
$538K
  • Hours beyond a day in 2 months under one organization, which can be supervisory billing.
  • Records needed.
  • and 1 more
4CLAIRE BRADLEY
Amarillo, TX, ranked 9322
$342K
  • Hours beyond a day in 6 months, but with up to 780 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5GEORJANE WOODBURN
Amarillo, TX, ranked 11780
$43K

Recent enforcement in TX

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.

Referral packet

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