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

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

Utah Homecare LLC (NPI 1063697365)

Field	Value
Entity Type	Organization
Organization	Utah Homecare LLC
Address	9231 S Redwood Rd Bldg 4
City	West Jordan
State	UT
ZIP	84088
Taxonomy	Home Health Agency
NPI Enumerated	January 4, 2008

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Key Findings

UTAH HOMECARE LLC is effectively a single-payer Medicaid-focused home health agency: there is no Medicare billing on file while total Medicaid revenue is $14.9M, indicating the organization operates almost entirely within state Medicaid programs rather than serving fee-for-service Medicare beneficiaries. This payer concentration implies business operations, staffing, and billing processes are tailored primarily to Medicaid rules and reimbursement levels.

Revenue is highly concentrated in a very small set of Medicaid codes: the top three Medicaid codes account for 96.2% of the provider's total Medicaid revenue, signaling the business depends heavily on a narrow set of service lines for nearly all of its income. This concentration raises operational sensitivity to reimbursement or policy changes affecting those few codes.

T1000 (private duty / independent nursing service(s), up to 15 minutes) is the dominant revenue driver with $11.6M and 35.6K claims (77.6% of Medicaid revenue). UTAH HOMECARE LLC ranks #3 of 7 in-state for T1000 (67th percentile), which positions the provider as a meaningful but not dominant in-state participant for private duty nursing services — it has substantial volume but remains mid-pack among peers.

T1005 (respite care services, up to 15 minutes) is the second-largest contributor at $2.1M across 19.4K claims (14.4% of Medicaid revenue), where the provider ranks #3 of 9 in-state (75th percentile). The combination of high-volume T1000 and T1005 activity suggests the agency’s operational model emphasizes direct in-home personal and nursing support services, including both continuous private-duty nursing and intermittent respite coverage.

T1021 (home health aide or certified nurse assistant, per visit) contributes $622.2K (4.2% of Medicaid revenue) from 16.4K claims and ranks #16 of 41 in-state (63th percentile). This rank places the provider around the state median for aide visit volume, indicating aides are a regular but secondary revenue source relative to private-duty nursing and respite care.

Other billed codes (S9122, T1001, G0151, G0299, G0156) together make up only a small share of revenue, with S9122 at $260.4K (1.7%) and T1001 at $251K (1.7%). These smaller contributions and mid-to-lower percentile ranks (mostly around the 60s) indicate the provider’s breadth of clinical home-health services beyond its core private-duty and respite offerings is limited.

Competitive standing: across its top Medicaid codes UTAH HOMECARE LLC typically ranks in the middle tiers statewide (percentiles generally in the 60s and one 75th), so it should be viewed as a solid regional operator with meaningful volume rather than an outsized market leader. Its #3 rankings for T1000 and T1005 show it is competitive in key service lines but not at the top of the state in scale.

Tenure: the provider’s NPI was enumerated on 2008-01-04 (~18 years ago), indicating a long-standing presence in the market. This sustained operating history combined with concentrated Medicaid revenue suggests an established Medicaid-focused service footprint and institutional experience in delivering home-based nursing and respite services.

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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	35,590	$330	$11.6M
T1005	Respite care services, up to 15 minutes	19,360	$110	$2.1M
T1021	Home health aide or certified nurse assistant, per visit	16,370	$40	$622.2K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	7,230	$40	$260.4K
T1001	Nursing assessment / evaluation	1,730	$150	$251K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	1,240	$30	$41K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	710	$30	$22.8K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	310	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Utah Homecare LLC — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	3	10	25,500	$350	$11.1M
T1021	Home health aide or certified nurse assistant, per visit	16	40	10,290	$60	$1.7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	5	10	5,040	$80	$1.7M
T1005	Respite care services, up to 15 minutes	3	10	3,930	$150	$1.7M
T1001	Nursing assessment / evaluation	24	70	700	$80	$603.4K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	28	50	2,960	$20	$130.6K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	12	30	680	$1	$1.8K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	15	20	1,370	$1	$420

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jordan Valley Medical Center LP	UT	Rehabilitation Hospital Unit	$0	$9.1M
Affinity Behavior And Mental Health Services, LLC	UT	Community/Behavioral Health Agency	$0	$7.4M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$7.3M
Wasatch Pediatrics, Inc	UT	Pediatrics Physician	$0	$5.8M
Family Surgical Suite	UT	Ambulatory Surgical Clinic/Center	$0	$4.8M
Kids Behavioral Health Of Utah, Inc	UT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$4.1M
Douglas Mehr	UT	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Christopher Gee	UT	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Andrew Davis	UT	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Jordan West Family Counseling Inc	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1M

Utah Homecare LLC — Billing Profile & Reimbursement Data

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Utah Homecare LLC — 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