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

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

Anton Home Health Care (NPI 1093288938)

Field	Value
Entity Type	Organization
Organization	Anton Home Health Care
Address	15401 W 9th Ave
City	Golden
State	CO
ZIP	80401
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	January 3, 2019

Payer Source	Total Paid
Medicaid	$45.5M
Medicare	$0

Key Findings

ANTON HOME HEALTH CARE is registered in GOLDEN, CO as an In Home Supportive Care Agency with an NPI enumeration date of 2019-01-03 (~7 years ago), indicating roughly seven years of billing activity under this enrollment. The taxonomy and tenure are consistent with a community-based personal care operator rather than a skilled home-health agency.

This provider has no Medicare billing on file and reports $45.5M in lifetime Medicaid revenue, making its financial footprint effectively single‑payer and heavily dependent on Medicaid reimbursement streams. The absence of Medicare revenue means competitive and operational comparisons should focus on Medicaid dynamics.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T1019 representing $36.1M (79.4%), H0038 $5.8M (12.8%), and S5130 $3.6M (7.8%). This three-code concentration signals that virtually all of the $45.5M Medicaid revenue is driven by a narrow set of personal-care and supportive-service billings.

The code mix (T1019, H0038, S5130) points to core operations in non-skilled in-home supports: T1019 (personal care services, per 15 minutes) and S5130 (homemaker service, per 15 minutes) reflect routine personal-care and homemaker assistance, while H0038 (self-help/peer services, per 15 minutes) indicates an active component of peer/self-help programming. Together these codes align with the provider's In Home Supportive Care Agency taxonomy and suggest service delivery focused on long-term personal assistance and psychosocial support rather than skilled clinical care.

Examining utilization and unit payment patterns shows T1019 has 68.6K claims at a $527 avg paid/claim, H0038 has 9.4K claims at $622 avg paid/claim, and S5130 has 10K claims at $358 avg paid/claim. The profile is one of very high unit volume for T1019 paired with higher per-claim payment for H0038 and lower per-claim payment for S5130, which together produce the observed revenue mix.

State-level competitive standing is modest-to-strong but not extreme: T1019 ranks #36 of 475 providers in-state (93th percentile) and is described as a typical, unremarkable volume for this code, while H0038 ranks #73 of 276 (74th percentile) and S5130 ranks #98 of 342 (72th percentile), both also characterized as typical, unremarkable volumes. These placements indicate the provider is a solid participant in the Medicaid in-home support market — with particularly notable scale on T1019 relative to peers — but not an extreme outlier or dominant statewide monopolist.

Operationally, the dependence on three Medicaid codes for 100.0% of revenue creates sensitivity to any policy, audit, or rate changes that affect T1019, H0038, or S5130 reimbursements. Given the lack of Medicare diversification, payers and analysts should treat this entity as Medicaid-centric and monitor these specific codes for utilization shifts, authorization patterns, or rate adjustments that would materially impact the provider's revenue profile.

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…	68,560	$530	$36.1M
H0038	Self‑help/peer services, per 15 minutes	9,370	$620	$5.8M
S5130	Homemaker service, nos; per 15 minutes	9,960	$360	$3.6M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Anton Home Health Care — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	73	280	2,330	$210	$4.8M
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…	36	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	98	340	3,530	$80	$1.2M

Nearby Providers

Other providers in the same ZIP code as Anton Home Health Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parker Personal Care Homes, Inc.	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$98.2M
Intermountain Front Range, Inc.	CO	General Acute Care Hospital	$0	$19M
Diversified Radiology Of Colorado, Inc	CO	Diagnostic Radiology Physician	$0	$11.4M
Hygeia Medical Supplies And Services, Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Salil Shukla	CO	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Cher, LLC	CO	Diagnostic Radiology Physician	$260K	$841.3K
Denver West Endoscopy Center, LLC	CO	Ambulatory Surgical Clinic/Center	$297.1K	$622.7K
Golden Ridge Asc, LLC	CO	Ambulatory Surgical Clinic/Center	$756.7K	$47.1K
Denver Eye Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$596.4K	$35.5K
Scltdi Jv, LLC	CO	Physiological Laboratory	$536.7K	$12.2K

Anton Home Health Care — Billing Profile & Reimbursement Data

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Anton Home Health Care — 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