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    OpenPayerNPI Medicare & MedicaidInteli-care, LLC
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    Inteli-care, LLC — Billing Profile & Reimbursement Data

    NPI 1023116548 · Albuquerque, NM · Home Health Agency

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    Inteli-care, LLC is a home health agency provider located in Albuquerque, New Mexico. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationInteli-care, LLC
    Address2116 Vista Oeste Nw Ste 102
    CityAlbuquerque
    StateNM
    ZIP87120
    TaxonomyHome Health Agency
    NPI EnumeratedSeptember 20, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$58.2M
    Medicare$0

    Key Findings

    INTELI-CARE, LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $58.2M in total Medicaid revenue, indicating Medicaid is the exclusive material revenue source available in claims data. This concentration means analysts should treat Medicaid utilization and authorization patterns as the primary window into this provider’s operations.

    Revenue is extremely concentrated in a small set of services: the precomputed top 3 Medicaid codes by revenue account for 99.4% of this provider's total Medicaid revenue, driven by 99509 (75.3%), T1019 (14.6%), and G9006 (9.5%). This concentration suggests that a very small set of service lines — visits for ADLs, personal care minutes, and a coordinated-care/home-monitoring fee — account for nearly all reported Medicaid receipts.

    The code mix and descriptions point to a hands-on, home-based personal-care business model augmented by remote coordination: 99509 is a home health visit to assist with ADLs, T1019 is personal care services billed per 15 minutes, and G9006 is a coordinated care fee for home monitoring. Together these codes imply the agency operates predominantly as a direct-care home health/personal care provider with an embedded care-coordination or monitoring capability rather than as a medically intensive home-health provider focused on skilled nursing.

    99509 is the dominant single revenue driver: 124K claims, $353 avg paid/claim, $43.8M revenue (75.3% of Medicaid revenue) and the provider ranks #11 of 82 in-state (88th percentile). The dataset characterizes this standing as "typical, unremarkable volume for this code," but the raw claim and revenue totals make clear that ADL-directed home visits are the core business line and a major source of scale.

    G9006 (coordinated care fee, home monitoring) is a meaningful secondary revenue stream at 25.8K claims, $213 avg paid/claim, $5.5M revenue (9.5% of Medicaid revenue) and the provider ranks #8 of 79 in-state (91st percentile). While the data label for statistical standing is "typical, unremarkable volume for this code," the 91st percentile rank indicates the provider is among the more active in-state performers on coordinated-care/home-monitoring fees.

    T1019 (personal care services, per 15 minutes) accounts for 121.7K claims, $70 avg paid/claim, $8.5M revenue (14.6% of Medicaid revenue) and the provider ranks #34 of 89 in-state (63th percentile). The dataset likewise labels this as "typical, unremarkable volume for this code," which aligns with a mid-tier in-state footprint on minute-based personal-care billing rather than market dominance.

    Smaller ancillary codes exist but represent minimal revenue: S5110 (home care training, family) produced $363.1K (0.6% of Medicaid revenue) from 3.2K claims and ranks #3 of 36 in-state (94th percentile). This suggests occasional or targeted family-training services are offered, but they do not materially diversify the provider’s revenue base away from its three primary codes.

    The provider has long tenure in NPI records (enumerated 2006-09-20, ~20 years ago) and reports high claim volumes across its core codes (e.g., 124K claims for 99509 and 121.7K claims for T1019), signaling an established operational scale in state Medicaid programs. For payers and competitive analysts, that longevity plus concentrated service lines implies predictable utilization patterns centered on ADL visits, minute-based personal care, and a growing coordinated-care/home-monitoring component.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.124,040$350$43.8M
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…121,740$70$8.5M
    G9006Coordinated care fee, home monitoring25,810$210$5.5M
    S5110Home care training, family; per 15 minutes3,210$110$363.1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Mexico median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.118020,990$310$16.4M
    T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…349092,900$70$13.3M
    G9006Coordinated care fee, home monitoring8803,840$190$2M
    S5110Home care training, family; per 15 minutes340340$200$202.4K

    Nearby Providers

    Other providers in the same ZIP code as Inteli-care, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Expressions Of LifeNMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$39.7M
    Providence Support Services Inc.NMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$25.8M
    Nextcare New Mexico LLCNMUrgent Care Clinic/Center$0$17M
    Atencion Family Services, IncNMRespite Care$0$16.5M
    Superior Ambulance Service IncNMLand Ambulance$578.5K$10.1M
    Practical Therapy Inc.NMSpecialist$0$7.7M
    Legacy Healthcare Inc.NMCommunity Based Hospice Care Agency$0$6.9M
    Armada Physical Therapy Of Albuquerque LLCNMMulti-Specialty Clinic/Center$0$6.9M
    The Family Connection LLCNMCommunity/Behavioral Health Agency$0$6M
    Bilingual Interventions, LLCNMHearing and Speech Clinic/Center$0$4.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Mexico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Inteli-care, LLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico