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 California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California 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. California (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.

Agency Personal Care (NPI 1033595202)

Field	Value
Entity Type	Organization
Organization	Agency Personal Care
Address	2173 Salk Ave Ste 250
City	Carlsbad
State	CA
ZIP	92008
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	August 10, 2015

Payer Source	Total Paid
Medicaid	$25.5M
Medicare	$0

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…	29,950	$850	$25.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

Agency Personal Care — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California 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…	7	60	2,510	$190	$3.5M

Nearby Providers

Other providers in the same ZIP code as Agency Personal Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Breg, Inc.	CA	Prosthetic/Orthotic Supplier	$0	$49.6M
Neogenomics Laboratories Inc	CA	Clinical Medical Laboratory	$2.9M	$1.4M
Glenn Balfour	CA	Neurology Physician	$1M	$40.4K
Anuradha Kanungo	CA	Anatomic Pathology & Clinical Pathology Physician	$444.5K	$0
Mary Headley	CA	Family Nurse Practitioner	$348.4K	$0
Martin Apt	CA	Psychiatric/Mental Health Nurse Practitioner	$177.9K	$0
Marianna Siksay	CA	Family Medicine Physician	$109.7K	$0
Kean Ganan	CA	Anesthesiology Physician	$105.6K	$0
Ritvik Mehta	CA	Otolaryngology/Facial Plastic Surgery Physician	$91K	$0
Vishal Banthia	CA	Otolaryngology Physician	$39.9K	$0

Agency Personal Care — Billing Profile & Reimbursement Data

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Agency Personal Care — Billing Profile & Reimbursement Data

Sign up for Agency Personal Care — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References