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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Quality Care, LLC. (NPI 1053443341)

Field	Value
Entity Type	Organization
Organization	Quality Care, LLC.
Address	701 Douglas Ave
City	Las Vegas
State	NM
ZIP	87701
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$52.8M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operator: there is no Medicare billing on file and lifetime Medicaid revenue is $52.8M, indicating virtually all reported billing activity is through Medicaid rather than Medicare. Analysts should treat the entity as focused on state Medicaid contracts and benefits rather than Part A/B/PDPM markets.

Revenue is highly concentrated in a very small number of services: the top three Medicaid codes (99509, T1019, G9006) together account for 97.4% of this provider's total Medicaid revenue. The largest single line is 99509 with $40.3M (76.4% of total Medicaid revenue), followed by T1019 with $5.9M (11.1%) and G9006 with $5.2M (9.9%), so shifts to reimbursement or utilization for any of these codes would materially affect overall revenue.

The code mix and descriptions confirm an in‑home supportive care operating model: 99509 (home visits for help with ADLs) is the dominant service line, complemented by T1019 (personal care services, per 15 minutes) and G9006 (coordinated care fee, home monitoring). This mix indicates the organization provides hands‑on ADL assistance at scale while also billing for remote/coordination services, consistent with its taxonomy as an In Home Supportive Care Agency.

99509 is a statewide competitive outlier: the provider reports 196.7K claims for 99509 at $205 avg paid/claim generating $40.3M and ranks #3 of 82 providers in‑state (98th percentile; notably above typical state volume for this code). That combination of very high claim volume and top percentile rank makes QUALITY CARE, LLC. a leading in‑state supplier of billed ADL visit services and suggests dominant capacity or strong referral flows for this specific home‑visit service.

G9006 shows a strong but less extreme market position: 24.3K claims at $216 avg paid/claim produced $5.2M and the provider ranks #9 of 79 in‑state (90th percentile; typical, unremarkable volume). This indicates a notable presence in coordinated care/home monitoring fee billing that complements its hands‑on visit business, and it could be a lever for care‑coordination programs.

T1019 performance is middle‑of‑the‑market: the provider reported 90.2K claims at $65 avg paid/claim yielding $5.9M and ranks #50 of 89 in‑state (44th percentile; typical, unremarkable volume). That rank and share suggest the organization is a routine, not market‑leading, participant in per‑15‑minute personal care billing and may have room to grow or optimize utilization relative to peers.

Ancillary codes account for a very small share of revenue: S5125 (attendant care services) generated $1.3M (2.4% of Medicaid revenue) and S9999 (sales tax) generated $56.2K (0.1%). These smaller lines show limited revenue diversification beyond the core 99509/T1019/G9006 mix and indicate most operational scale is concentrated in direct in‑home care and coordination fees.

The provider has long tenure in the registry (NPI enumerated 2007-03-12, ~19 years ago), which supports the interpretation of an established in‑state operator with lengthy participation in Medicaid programs. Combined with the 97.4% revenue concentration in three codes, this tenure implies stable historical operations but also exposure to reimbursement or policy changes affecting those specific services, highlighting potential operational risk and a clear focus area for payer contract discussions.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99509	A 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.	196,670	$210	$40.3M
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…	90,190	$70	$5.9M
G9006	Coordinated care fee, home monitoring	24,260	$220	$5.2M
S5125	Attendant care services; per 15 minutes	19,280	$70	$1.3M
S9999	Sales tax	4,010	$10	$56.2K

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.

Claims Volume vs. New Mexico Distribution

Quality Care, LLC. — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A 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.	3	80	20,990	$310	$16.4M
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…	50	90	92,900	$70	$13.3M
S5125	Attendant care services; per 15 minutes	18	50	10,600	$100	$4.3M
G9006	Coordinated care fee, home monitoring	9	80	3,840	$190	$2M
S9999	Sales tax	21	160	800	$10	$25.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Victory Personal Care Inc.	NM	Home Health Agency	$0	$26.9M
Direct Healthcare	NM	In Home Supportive Care Agency	$0	$15.2M
Heritage Healthcare Of Northern New Mexico, Inc.	NM	Home Health Agency	$0	$14.8M
An Angels Touch LLC	NM	In Home Supportive Care Agency	$0	$13.4M
San Miguel Hospital Corporation	NM	General Acute Care Hospital	$0	$13.2M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$7.3M
Rainbow Road Therapies, Inc.	NM	Developmentally Disabled Services Day Training Agency	$0	$6.5M
State Of New Mexico	NM	Nursing Facility/Intermediate Care Facility	$0	$4.2M
Summit Emergency Medicine LLC	NM	Emergency Medicine Physician	$0	$3.1M
San Miguel Hospital Corporation	NM	Critical Access Hospital	$0	$3M

Quality Care, LLC. — Billing Profile & Reimbursement Data

Sign up for Quality Care, LLC. — Billing Profile & Reimbursement Data policy alerts

Quality Care, LLC. — Billing Profile & Reimbursement Data

Sign up for Quality 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