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

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

Family Matters Home Services (NPI 1083143325)

Field	Value
Entity Type	Organization
Organization	Family Matters Home Services
Address	985 Ramsey Lane
City	New Madrid
State	MO
ZIP	63869
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	June 9, 2017

Payer Source	Total Paid
Medicaid	$70.9M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file while reported Medicaid revenue totals $70.9M, indicating that the organization's entire reported clinical billing footprint in the available data is Medicaid-based rather than split between Medicare and Medicaid. Analysts should treat FAMILY MATTERS HOME SERVICES as a Medicaid-focused operation for payer strategy and network participation evaluations.

Revenue concentration is extremely high: the precomputed top three Medicaid codes account for 97.3% of the provider's total Medicaid revenue. The dominant line is T2016 (Habilitation, residential, waiver; per diem) at $55.4M (78.2% of Medicaid revenue), followed by T2021 (Day habilitation, waiver; per 15 minutes) at $12.2M (17.1%), and T1019 (Personal care services, per 15 minutes) at $1.4M (1.9%).

The code mix strongly indicates a residential and day habilitation business model: T2016 is the primary revenue driver by far, consistent with per-diem residential habilitation services, while T2021 shows substantial day habilitation activity. Together these two codes (T2016 and T2021) create a care model focused on long-term residential supports augmented by day programs, and T1019 indicates some individualized personal care billed in parallel.

Competitive standing by code is mixed within Missouri. For the largest claim category, T2016 the provider ranks #55 of 193 in-state (72th percentile), which the data labels as a typical, unremarkable volume — large in absolute dollars but not an outlier statewide. For T2021 the provider ranks #32 of 167 (81th percentile), a stronger in-state position for day habilitation but still described as typical volume, and for T1019 the provider is near the middle of the statewide distribution at #656 of 1332 (51th percentile).

Transportation-related codes make up small portions of revenue individually but show relatively high state-level rankings, suggesting the provider either contracts or operates a meaningful non-emergency transport capacity. Examples include T2003 with $718.8K (rank #5 of 23, 82th percentile), A0110 with $501.5K (rank #10 of 79, 88th percentile), T2001 with $333.4K (rank #18 of 150, 89th percentile), and A0120 with $212K (rank #5 of 120, 97th percentile). These high percentiles indicate above-typical utilization of transportation services relative to in-state peers despite their modest contribution to total revenue.

Average paid-per-claim values reinforce the service intensity of core habilitation offerings: T2016 shows $805 avg paid/claim (per diem) and T2021 shows $251 avg paid/claim (per 15 minutes), which aligns with a resource-intensive residential habilitation model supported by billable day programming. T1019’s $197 avg paid/claim (per 15 minutes) further supports that individualized attendant care is billed but represents a small share of total revenue.

Tenure is moderate: the NPI was enumerated on 2017-06-09 (~9 years ago), indicating the provider has been active under its National Provider Identifier for nearly a decade. That tenure supports observed scale in Medicaid billing (lift to $70.9M lifetime Medicaid revenue) but does not by itself signal long-standing legacy market dominance.

From a network and contracting perspective, the combination of single-payer Medicaid dependence and heavy revenue concentration in T2016/T2021 implies that changes in state Medicaid habilitation policy, reimbursement rates, or prior-authorization practices for residential and day habilitation would materially affect this provider’s revenue. Analysts and payers should prioritize monitoring Medicaid policy changes tied to habilitation per-diem and day habilitation rate-setting given these codes together drive the overwhelming majority of revenue.

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
T2016	Habilitation, residential, waiver; per diem	68,880	$810	$55.4M
T2021	Day habilitation, waiver; per 15 minutes	48,440	$250	$12.2M
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…	6,890	$200	$1.4M
T2003	Non-emergency transportation; encounter/trip	11,590	$60	$718.8K
A0110	Non-emergency transportation and bus, intra or inter state carrier	20,060	$30	$501.5K
T2001	Non-emergency transportation; patient attendant/escort	3,830	$90	$333.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	4,820	$40	$212K
T1002	Rn services, up to 15 minutes	2,610	$70	$182.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Family Matters Home Services — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	55	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	32	170	18,890	$180	$5.4M
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…	656	1,330	6,550	$80	$4.6M
T2003	Non-emergency transportation; encounter/trip	5	20	2,300	$20	$1.3M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	5	120	730	$60	$585.2K
A0110	Non-emergency transportation and bus, intra or inter state carrier	10	80	4,520	$10	$331.1K
T2001	Non-emergency transportation; patient attendant/escort	18	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	71	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Family Matters Home Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bootheel In-home Care Services, LLC	MO	In Home Supportive Care Agency	$0	$44.9M
Bootheel In-home Care Services, LLC	MO	Homemaker	$0	$10.9M
Family Matters In Home LLC	MO	In Home Supportive Care Agency	$0	$9M
Family Matters Cds LLC	MO	In Home Supportive Care Agency	$0	$6.8M
New Madrid County Ambulance District	MO	Land Ambulance	$504.6K	$2.8M

Family Matters Home Services — Billing Profile & Reimbursement Data

Sign up for Family Matters Home Services — Billing Profile & Reimbursement Data policy alerts

Family Matters Home Services — Billing Profile & Reimbursement Data

Sign up for Family Matters Home Services — 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