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

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

Girling Health Care, Inc. (NPI 1053321869)

Field	Value
Entity Type	Organization
Organization	Girling Health Care, Inc.
Address	6836 Austin Center Blvd Ste 300
City	Austin
State	TX
ZIP	78731
Taxonomy	Home Health Agency
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicaid	$855.7M
Medicare	$0

Key Findings

GIRLING HEALTH CARE, INC. reports no Medicare billing on file and $855.7M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid-focused operation; its NPI was enumerated on 2006-08-08 (~20 years ago), indicating a long-tenured presence in the Medicaid home- and community-based services market.

Revenue is extremely concentrated: the top three Medicaid codes (S5125, T2017, T1019) account for 97.5% of this provider's total Medicaid revenue, with S5125 alone representing $795.7M (93.0%). This concentration implies that a single service line—attendant care—drives the vast majority of receipts.

The code mix is characteristic of a home health agency delivering home- and community-based attendant and personal care: S5125 (attendant care services; per 15 minutes), T2017 (habilitation, residential, waiver; 15 minutes), and T1019 (personal care services, per 15 minutes) together dominate the portfolio. Additional billed services such as T1005 (respite care services) and T2022 (case management) suggest the provider operates an integrated set of waiver and support services rather than episodic skilled home health care.

GIRLING is a statewide market leader for attendant care: S5125 ranks #1 of 1678 providers in-state (100th percentile; extreme outlier), indicating volumes far above typical state peers for that code. T2017 also ranks at the very top for its category (#2 of 55, 98th percentile; extreme outlier), while T1019 sits at #71 of 1050 (93th percentile; typical, unremarkable), showing dominance in some waiver/attendant lines but more typical participation in basic personal-care claims.

Operational scale is substantial: S5125 shows 14M claims at an average paid/claim of $57, T2017 shows 366.9K claims at $74 avg paid/claim, and T1019 shows 235.2K claims at $50 avg paid/claim. Those volumes and average payments underscore a high-throughput, per-15-minute service delivery model common to attendant and personal care providers and suggest significant workforce and visit-management capacity.

Beyond the top three codes, the provider reports other meaningful Medicaid lines that support its service breadth: T1005 (respite care services) generated $9.5M (1.1% of total Medicaid revenue) and ranks #4 of 564 in-state (99th percentile; extreme outlier), while T2022 (case management) produced $7M (0.8%) and ranks #2 of 50 (98th percentile; notably above typical state volume). S5165 (home modifications) contributed $4M (0.5%) and ranks #4 of 13 in-state (75th percentile), indicating occasional higher-cost, non-recurring capital services within its waiver offerings.

The provider’s extreme revenue concentration in S5125 (93.0% of Medicaid revenue) creates material exposure to policy, rate, or programmatic changes that affect attendant care reimbursement or eligibility; a change in state waiver rules or audits focused on attendant services could disproportionately impact overall revenue. Given the limited payer diversification (no Medicare revenue), Medicaid policy and contracting dynamics are the primary determinants of financial performance for this entity.

Taken together, long tenure (NPI enumerated 2006-08-08 ~20 years ago) and top-state rankings on multiple waiver/attendant codes suggest GIRLING is a specialized, high-volume operator in Texas Medicaid waiver and home-care programs. Its competitive position is dominant for attendant care and habilitation services statewide, while its role in routine personal-care billing (T1019) is large but more in line with many peers rather than uniquely outsized.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	13,959,150	$60	$795.7M
T2017	Habilitation, residential, waiver; 15 minutes	366,860	$70	$27.1M
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…	235,180	$50	$11.8M
T1005	Respite care services, up to 15 minutes	190,120	$50	$9.5M
T2022	Case management, per month	39,130	$180	$7M
S5165	Home modifications; per service	790	$5,030	$4M
G9006	Coordinated care fee, home monitoring	720	$590	$421.5K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	5,460	$30	$180K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Girling Health Care, Inc. — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	1	1,680	50,290	$60	$9.5M
S5165	Home modifications; per service	4	10	160	$3,810	$3.5M
T2017	Habilitation, residential, waiver; 15 minutes	2	60	19,340	$80	$3M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	17	60	2,200	$330	$2.5M
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…	71	1,050	23,280	$30	$1.8M
T2022	Case management, per month	2	50	2,920	$180	$1.6M
T1005	Respite care services, up to 15 minutes	4	560	8,490	$50	$842.3K
G9006	Coordinated care fee, home monitoring	1	10	720	$590	$421.4K

Nearby Providers

Other providers in the same ZIP code as Girling Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$34.3M
Misty Witten	TX	Family Nurse Practitioner	$1.5M	$0
Texan Ambulatory Surgery Center, LP	TX	Ambulatory Surgical Clinic/Center	$1.5M	$10.3K
Jeffrey Yorio	TX	Hematology & Oncology Physician	$1.1M	$0
Michael Lattanzi	TX	Hematology & Oncology Physician	$1.1M	$0
Jane Chawla	TX	Hematology & Oncology Physician	$972.9K	$0
Carl Nuesch	TX	Radiation Oncology Physician	$876.9K	$0
Anurekha Chadha	TX	Rheumatology Physician	$863.1K	$0
Kathryn Hudson	TX	Hematology & Oncology Physician	$805.7K	$0
Michael Kasper	TX	Hematology & Oncology Physician	$775.8K	$0

Girling Health Care, Inc. — Billing Profile & Reimbursement Data

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Girling Health Care, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References