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    OpenPayerNPI Medicare & MedicaidRes-care Washington, Inc
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    Res-care Washington, Inc — Billing Profile & Reimbursement Data

    NPI 1053558643 · Coeur D Alene, ID · In Home Supportive Care Agency

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    Res-care Washington, Inc is a in home supportive care agency provider located in Coeur D Alene, Idaho. This profile covers 0 Medicare and 6 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
    OrganizationRes-care Washington, Inc
    Address1015 W Ironwood Dr
    CityCoeur D Alene
    StateID
    ZIP83814
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedJanuary 19, 2009

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

    Payer SourceTotal Paid
    Medicaid$31.9M
    Medicare$0

    Key Findings

    RES-CARE WASHINGTON, INC appears to operate primarily as an in-home supportive care agency focused on hands-on personal and homemaker services; its top billable codes (T1019, S5125, S5130) represent personal care, attendant care, and homemaker service per 15 minutes, indicating day-to-day assistance and ADL/IADL support are the core service lines. The code mix suggests staffing models centered on paid caregivers providing routine in-home support rather than skilled nursing or facility-based care.

    This provider has no Medicare billing on file and $31.9M in lifetime Medicaid revenue, meaning its financial footprint is effectively single-payer (Medicaid-dominant) and Medicaid drives all documented public payer activity. Analytic efforts should therefore prioritize Medicaid program rules, rates, and utilization patterns when evaluating this entity.

    Revenue concentration is extremely high: the top 3 Medicaid codes account for 96.8% of this provider's total Medicaid revenue, which indicates that a very small set of service types (personal care, attendant care, homemaker services) drive nearly all documented Medicaid income. This concentration implies limited service diversification within the Medicaid line of business.

    T1019 is by far the largest revenue driver at $19.3M and represents 60.5% of the provider's Medicaid revenue; this code ranks #1 of 101 providers in-state and is flagged as an extreme outlier. That ranking and description position RES-CARE WASHINGTON as a statewide leader for personal care services per 15 minutes, with volumes far above typical state peers.

    S5125 and S5130 together contribute $5.9M and $5.7M respectively (18.5% and 17.8% of Medicaid revenue). S5125 ranks #2 of 44 providers in-state and is described as notably above typical state volume, while S5130 ranks #1 of 77 providers and is also an extreme outlier; combined, these two attendant/homemaker codes reinforce the provider's dominant presence across multiple high-volume personal support service categories in Idaho.

    Smaller codes (S5135, T1001, A0080) together make up only a minor share of revenue (3.0%, 0.3%, and effectively 0.0% respectively) and generally show more typical or unremarkable volume relative to in-state peers. These items indicate limited ancillary service lines beyond the dominant personal care and homemaker offerings.

    Competitive standing in the state is strong: multiple codes place RES-CARE WASHINGTON at or near the top of in-state rankings (100th percentile for T1019 and S5130, #2 rank for S5125 at the 98th percentile). Those percentile positions and the provided plain-English labels ("extreme outlier", "notably above typical") indicate the provider is a major, high-volume participant in Idaho Medicaid for community-based supportive services.

    The provider's NPI was enumerated on 2009-01-19 (~17 years ago), indicating long tenure in the market; combined with dominant Medicaid volumes, this suggests an established operational footprint and sustained focus on long-term in-home support services within the state. Continuity of operations over this time frame supports the high cumulative Medicaid revenue totals observed.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…344,080$60$19.3M
    S5125Attendant care services; per 15 minutes137,260$40$5.9M
    S5130Homemaker service, nos; per 15 minutes257,530$20$5.7M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes28,490$30$940.2K
    T1001Nursing assessment / evaluation2,030$40$87.3K
    A0080Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest2,590$1$7.8K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Idaho median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes2405,180$110$2.3M
    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…110011,400$80$2M
    S5130Homemaker service, nos; per 15 minutes18012,220$20$537.5K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes110620$40$169.5K
    T1001Nursing assessment / evaluation650260$60$77K
    A0080Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest6201,290$10$26.6K

    Nearby Providers

    Other providers in the same ZIP code as Res-care Washington, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dirne Health Centers, Inc.IDFederally Qualified Health Center (FQHC)$0$13.6M
    Coeur D'alene Pediatrics PAIDPediatrics Physician$0$11.6M
    Coeur D'alene School District #271IDLocal Education Agency (LEA)$0$9.8M
    Ambitions Of Idaho, IncIDMental Health Clinic/Center (Including Community Mental Health Center)$0$7.6M
    Dirne Health Centers, Inc.IDFederally Qualified Health Center (FQHC)$0$7.1M
    Kootenai Health, Inc.IDGeneral Acute Care Hospital$0$7M
    Family Support Services Of North IdahoIDMental Health Counselor$0$6.9M
    Dirne Health Centers, IncIDFederally Qualified Health Center (FQHC)$0$6.7M
    Kootenai Health, Inc.IDPsychiatry Physician$0$6.7M
    Collaborative Behavior Solutions, LLCIDCommunity/Behavioral Health Agency$0$5.9M

    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. Idaho Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Res-care Washington, Inc — 4 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho