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.

Generations Personal Care, Inc (NPI 1063839785)

Field	Value
Entity Type	Organization
Organization	Generations Personal Care, Inc
Address	942 Schofield Ln
City	Farmington
State	NM
ZIP	87401
Taxonomy	Personal Care Attendant
NPI Enumerated	March 19, 2014

Payer Source	Total Paid
Medicaid	$33.9M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $33.9M in lifetime Medicaid revenue, making it effectively a Medicaid-only biller in the available dataset. The absence of Medicare activity suggests its operations and contracts are focused on state Medicaid programs rather than dual-eligible or Medicare-covered services.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1019 alone accounting for $28.7M (84.6% of the provider's total Medicaid revenue). Such concentration means a single service line is driving the vast majority of payments recorded for this entity.

The code mix points to a home-based personal care operation: T1019 (personal care services, per 15 minutes) and 99509 (home health provider visits to assist with ADLs/self-care) together make up the bulk of revenue, and G9006 (coordinated care fee, home monitoring) provides a smaller care-coordination/monitoring component. The prominence of per-15-minute personal care and ADL visit codes indicates a labor-intensive, in-home personal care service model rather than acute or institutional care.

Operational scale is reflected in claim counts and unit payments: T1019 shows 427.9K claims at $67 avg paid/claim generating $28.7M revenue, 99509 shows 15.7K claims at $299 avg paid/claim generating $4.7M revenue, and G9006 shows 2.4K claims at $216 avg paid/claim generating $526.2K revenue. These figures indicate a very high-volume, lower-unit-value model for the primary personal care service and smaller, higher-unit-value volumes for ADL visits and remote coordination.

Competitive standing varies by code: for T1019 the provider ranks #9 of 89 providers in-state (91th percentile; typical, unremarkable volume for this code), which places it among the larger statewide participants for that specific personal care code despite the dataset’s label. By contrast, for 99509 it ranks #47 of 82 providers in-state (43th percentile; typical, unremarkable volume for this code) and for G9006 it ranks #53 of 79 providers in-state (33th percentile; typical, unremarkable volume for this code), indicating only modest presence on those ancillary services.

Reliance on Medicaid and on a single dominant code (T1019 at 84.6% of Medicaid revenue) creates concentration risk: changes to state reimbursement, eligibility, or coding guidance for personal care services would likely have an outsized impact on this provider's revenue. Analysts evaluating partnerships, credentialing, or audits should factor in the provider’s narrow service and payer mix.

The NPI was enumerated/registered on 2014-03-19 (≈12 years ago), signaling an established presence in the market. Combined with the large claim volume for T1019, tenure suggests the provider has built a sustained operational footprint in New Mexico’s Medicaid personal care market.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	427,950	$70	$28.7M
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.	15,670	$300	$4.7M
G9006	Coordinated care fee, home monitoring	2,440	$220	$526.2K

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

Generations Personal Care, Inc — 0 of 3 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

3 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.	47	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…	9	90	92,900	$70	$13.3M
G9006	Coordinated care fee, home monitoring	53	80	3,840	$190	$2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Juan Regional Medical Center, Inc.	NM	General Acute Care Hospital	$0	$141.5M
Basin Coordinated Healthcare,inc	NM	Personal Care Attendant	$0	$79.7M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$41.2M
Links Ii Inc	NM	In Home Supportive Care Agency	$0	$38.9M
Southwestern Private Services, Inc.	NM	Home Health Agency	$0	$30.4M
San Juan Regional Medical Center Inc	NM	Emergency Medicine Physician	$0	$23.8M
San Juan Center For Independence	NM	Home Health Agency	$0	$22.5M
Cottonwood Clinical Services, Inc.	NM	Community/Behavioral Health Agency	$0	$18.1M
San Juan Regional Medical Center Inc	NM	Pediatrics Physician	$0	$15.7M
Better Together Home And Community Services, LLC	NM	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$14.5M

Generations Personal Care, Inc — Billing Profile & Reimbursement Data

Sign up for Generations Personal Care, Inc — Billing Profile & Reimbursement Data policy alerts

Generations Personal Care, Inc — Billing Profile & Reimbursement Data

Sign up for Generations Personal Care, Inc — 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