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    OpenPayerNPI Medicare & MedicaidElite Professionals Home Care LLC
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    Elite Professionals Home Care LLC — Billing Profile & Reimbursement Data

    NPI 1063433290 · Lincoln, NE · Home Health Agency

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    Elite Professionals Home Care LLC is a home health agency provider located in Lincoln, Nebraska. This profile covers 0 Medicare and 7 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
    OrganizationElite Professionals Home Care LLC
    Address3901 Faulkner Dr.
    CityLincoln
    StateNE
    ZIP68516
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 22, 2006

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

    Payer SourceTotal Paid
    Medicaid$4.2M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively a Medicaid-only operator on the data shown, reporting lifetime Medicaid revenue of $4.2M with no Medicare revenue recorded. The absence of Medicare activity means competitive and utilization insights should be interpreted against Medicaid peers rather than a dual-payer mix.

    Revenue is highly concentrated: the top three Medicaid billing codes account for 87.9% of this provider’s total Medicaid revenue, led by G0300 ($1.9M, 44.6%), followed by G0156 ($1.3M, 30.3%) and G0299 ($548.6K, 12.9%). This concentration indicates a narrow set of services drives the vast majority of dollars.

    The code mix shows a core focus on hands-on, time-based home health care: G0300 (direct skilled nursing LPN services; 21K claims, $90 avg paid/claim, $1.9M) and G0299 (direct skilled nursing RN services; 7.6K claims, $72 avg paid/claim, $548.6K) together emphasize skilled nursing visits in the home setting. Substantial G0156 volume (home health/hospice aide services; 17.8K claims, $72 avg paid/claim, $1.3M) further signals a service model built around frequent, short-interval visits by aides and nursing staff.

    Therapy capability is also present but secondary to nursing/aide services: G0151 (qualified physical therapist; 3.1K claims, $92 avg paid/claim, $289.1K) and G0152 (qualified occupational therapist; 2.7K claims, $81 avg paid/claim, $222.2K) together contribute meaningful but smaller shares of revenue and indicate the agency provides onsite PT/OT services in addition to nursing care. G0151 ranks #3 of 17 providers in-state (88th percentile; notably above typical state volume) and G0152 ranks #2 of 14 providers in-state (92th percentile; notably above typical state volume), supporting that therapy is a meaningful supplemental line.

    Competitive standing is mixed by code: the provider is a clear outlier for LPN skilled nursing — G0300 ranks #1 of 16 providers in-state (100th percentile; extreme outlier), indicating dominant statewide volume for that specific LPN home health code. For other high-revenue codes the provider is a strong but not singular player: G0156 ranks #3 of 22 (90th percentile; typical, unremarkable volume) and G0299 ranks #6 of 48 (89th percentile; typical, unremarkable volume), suggesting above-average presence but not exclusive dominance for RN and aide services.

    Claim volumes indicate an operational model based on high-frequency, short-interval visits: G0300 shows 21K claims and G0156 shows 17.8K claims, while G0299 has 7.6K claims. These large claim counts, paired with the time-based code descriptions and average paid/claim amounts ($90 for G0300, $72 for G0156 and G0299), are consistent with routine, visit-based home health delivery rather than episodic or bundled payment models.

    There are a small number of codes with reported claims but no recorded Medicaid payments: Q5001 shows 353 claims with $0 avg paid/claim and $0 revenue (ranks #2 of 11, 90th percentile), and G0157 shows 35 claims with $0 avg paid/claim and $0 revenue (ranks #4 of 4, 0th percentile). These entries merit attention in claims-level review because they appear on file but contribute no recorded Medicaid revenue.

    The provider’s NPI has been enumerated since 2006-07-22 (~20 years ago), indicating a long-tenured presence in the market; combined with the high volumes on core home health codes, this tenure supports an established operational footprint focused on Medicaid home health services in Nebraska.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes21,020$90$1.9M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes17,850$70$1.3M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes7,620$70$548.6K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes3,140$90$289.1K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes2,740$80$222.2K
    G0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes40$0$0
    Q5001Hospice or home health care provided in patient's home/residence350$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nebraska median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes3201,270$60$419.3K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes120570$80$239K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes6501,420$50$161.2K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes320500$70$89.7K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes210310$70$53.3K
    Q5001Hospice or home health care provided in patient's home/residence210150$1$30
    G0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes410180$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Elite Professionals Home Care LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elite Professionals Home Care LLCNEHome Health Agency$0$1.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Melvin ChurchillNERheumatology Physician$4.8M$0
    Lincoln Radiology Group PCNEDiagnostic Radiology Physician$0$4.5M
    Rick ChatwellNERheumatology Physician$3.5M$0
    Lincoln Pediatric Group LLCNEPediatrics Physician$0$2.3M
    Scott MchamNEHematology & Oncology Physician$1.9M$0
    Nebraska House Call Physicians, P.C.NEInternal Medicine Physician$0$1.7M
    Steven DunderNEHematology & Oncology Physician$1.7M$0
    Urology Surgical Center LLCNEAmbulatory Surgical Clinic/Center$1.4M$190.5K
    Wallace PetersonNEHematology & Oncology Physician$1.5M$0
    Irfan VaziriNEMedical Oncology Physician$1.4M$0

    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. Nebraska Providers
    4 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Elite Professionals Home Care LLC — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska