Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nevada (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Golden Cross Home Care, LLC. (NPI 1023355435)

Field	Value
Entity Type	Organization
Organization	Golden Cross Home Care, LLC.
Address	7762 W Sahara Ave
City	Las Vegas
State	NV
ZIP	89117
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	January 7, 2013

Payer Source	Total Paid
Medicaid	$19.4M
Medicare	$0

Key Findings

GOLDEN CROSS HOME CARE, LLC. operates as an In Home Supportive Care Agency and its Medicaid billing profile is concentrated in time-based personal care services: the Medicaid top code is T1019 (personal care services, per 15 minutes), which aligns directly with the provider taxonomy and suggests operations centered on in-home aides delivering personal care under individualized plans. This code mix is consistent with a provider delivering hands-on, recurring, hourly or shift-based personal care rather than episodic medical procedures.

All Medicaid revenue is concentrated in a single service line: T1019 accounts for $19.4M in Medicaid revenue and the precomputed top-3 share is 100.0%, indicating virtually no Medicaid diversification beyond personal care services. This degree of concentration implies the business is highly dependent on continued demand and reimbursement for that single code.

The payer mix is effectively single-payer for this entity: there is no Medicare billing on file while Medicaid revenue totals $19.4M, so analysts should treat this provider as Medicaid-dominant for financial and utilization analyses. Any benchmarking against Medicare-based peers is not applicable because the provider reports no Medicare activity.

Operational scale is substantial within its service line: the provider reported 248.2K claims for T1019 with an average paid of $78 avg paid/claim generating $19.4M in Medicaid revenue, which indicates a high-volume, time-based billing model and likely large cumulative home-care hours delivered. The combination of claim volume and per-claim average points to a labor-intensive delivery model where utilization drives revenue.

Competitive standing in-state for T1019 is very strong: the provider ranks #3 of 219 providers in Nevada, is in the 99th percentile, and is described as an "extreme outlier, far above typical state volume for this code." This ranking positions GOLDEN CROSS as one of the dominant providers of Medicaid personal care services in Nevada.

The provider’s NPI tenure is long enough to establish operational stability: the NPI was enumerated 2013-01-07 (~13 years ago), indicating over a decade of enrollment and likely experience operating under Nevada Medicaid rules and rate structures. That tenure supports the plausibility of sustained high-volume operations rather than a short-term surge.

Because the entity is an extreme outlier and 100.0% of Medicaid revenue is tied to T1019, its financial and utilization profile will be sensitive to policy, rate, or utilization changes affecting that single code. Analysts should prioritize monitoring Nevada Medicaid reimbursement policy and utilization audits for T1019 when modeling revenue risk or forecasting future performance.

Given its Las Vegas, NV location and dominant statewide ranking for T1019, GOLDEN CROSS likely represents a concentrated competitive footprint within the Nevada personal care market; this standing suggests it is a major player for in-home personal care services locally and should be compared to the small set of other top-ranked in-state providers when assessing competitive dynamics.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal 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…	248,180	$80	$19.4M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Golden Cross Home Care, LLC. — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal 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…	3	220	20,880	$80	$3.4M

Nearby Providers

Other providers in the same ZIP code as Golden Cross Home Care, LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Personal Care Solutions, Inc.	NV	Home Health Agency	$0	$22.3M
Nevada Best Pca, LLC	NV	Personal Care Attendant	$0	$11M
Jay Selznick	NV	Oral and Maxillofacial Surgery (Dentist)	$0	$8.7M
Tufail & Associates	NV	Internal Medicine Physician	$0	$7.5M
Leanne Wright	NV	Speech-Language Pathologist	$0	$6.8M
A Novo Care LLC	NV	In Home Supportive Care Agency	$0	$6.6M
Community Medicine Inc.	NV	Internal Medicine Physician	$0	$6M
Amy Lapres	NV	Pediatric Occupational Therapist	$0	$5.7M
Infectious Disease Specialists, LLC	NV	Infectious Disease Physician	$0	$5.4M
A Next Generation Adhc LLC	NV	Adult Day Care Clinic/Center	$0	$4.9M

Golden Cross Home Care, LLC. — Billing Profile & Reimbursement Data

Sign up for Golden Cross Home Care, LLC. — Billing Profile & Reimbursement Data policy alerts

Golden Cross Home Care, LLC. — Billing Profile & Reimbursement Data

Sign up for Golden Cross Home Care, LLC. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References