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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Loved Ones In Home Care (NPI 1093937633)

Field	Value
Entity Type	Organization
Organization	Loved Ones In Home Care
Address	144 7th Ave
City	South Charleston
State	WV
ZIP	25303
Taxonomy	Home Health Agency
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$35M
Medicare	$0

Key Findings

LOVED ONES IN HOME CARE is overwhelmingly a Medicaid-focused home health operator: it reports $35M in Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) provider for the period on record. Its code mix and revenue scale indicate the business is organized around long-duration, community-based personal and homemaker supports rather than traditional Medicare home health services.

Revenue concentration is extreme: the precomputed top three Medicaid codes (S5130, T1002, A0160) account for 99.2% of the provider's total Medicaid revenue, with S5130 alone representing $33.9M and 96.8% of Medicaid revenue. This concentration signals that the provider’s financial performance is heavily dependent on a single service line.

S5130 (Homemaker service, per 15 minutes) dominates operational activity with 112.2K claims and $33.9M in revenue, and the provider ranks #4 of 72 in-state (96th percentile), a position described as notably above typical state volume. That combination of very high claim count and top-quartile ranking positions the provider as a major in-state performer for homemaker services.

Clinical nursing codes are present but small in share: T1002 (RN services, up to 15 minutes) generated 26.8K claims and $455.5K (1.3% of Medicaid revenue) and T1001 (nursing assessment/evaluation) produced 2.4K claims and $278.6K (0.8%). Both codes are relatively modest revenue contributors; T1002 ranks #4 of 151 in-state (98th percentile) yet is labeled as a typical, unremarkable volume for that code, while T1001 ranks #4 of 60 (95th percentile) and is also described as typical—indicating the provider offers nursing interactions but does not derive most of its revenue from higher-paid clinical services.

The provider also bills for support and access services: A0160 (non-emergency transportation per mile) accounts for $361.4K (1.0% of Medicaid revenue) over 7.1K claims and ranks #29 of 112 (75th percentile), a typical volume position. Smaller ancillary lines such as S5161 (Emergency response system; $7.9K) and T1019 (personal care services; $0 reported) appear immaterial to overall Medicaid revenue but show the provider bills a spectrum of home- and community-based service codes.

Competitive standing is mixed across codes: the provider is a clear state-level leader for S5130 (top decile, notably above typical volume) and holds high ranks for several nursing codes, but because nearly all revenue flows from a single code, its market footprint may be concentrated in one service niche rather than broadly diversified across home health clinical lines. Analysts should interpret percentile ranks alongside dollar share to understand where the provider is dominant versus where it merely participates.

Operational and contracting implications flow from the observed mix: dominance of S5130 (96.8% of Medicaid revenue) implies business sensitivity to rate, policy, or utilization changes affecting homemaker services, and may limit leverage in negotiations for higher-paid clinical services. The provider’s reliance on high-volume, low-unit-rate 15-minute billing units suggests operations optimized for frequent short-interval visits and staff models that support that cadence.

The NPI shows longstanding presence—enumerated on 2007-05-03 (~19 years ago)—which, combined with $35M in Medicaid billing, indicates an established Medicaid-oriented operation with sustained scale in the state market. Tenure plus concentrated revenue production suggests deep operational experience in delivering and billing large volumes of homemaker services, but also concentration exposure if state program rules shift.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	112,190	$300	$33.9M
T1002	Rn services, up to 15 minutes	26,790	$20	$455.5K
A0160	Non-emergency transportation: per mile - case worker or social worker	7,090	$50	$361.4K
T1001	Nursing assessment / evaluation	2,360	$120	$278.6K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	160	$50	$7.9K
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…	470	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Loved Ones In Home Care — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5130	Homemaker service, nos; per 15 minutes	4	70	6,710	$330	$6.6M
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…	63	80	4,510	$270	$4.7M
A0160	Non-emergency transportation: per mile - case worker or social worker	29	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	4	150	1,980	$40	$232.6K
T1001	Nursing assessment / evaluation	4	60	200	$110	$90.3K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	38	50	460	$50	$63.1K

Nearby Providers

Other providers in the same ZIP code as Loved Ones In Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Solutions Positive Behavior Strategies	WV	Specialist	$0	$15.3M
Special Touch Nursing Services, Inc.	WV	Home Health Agency	$0	$6.7M
Damous Psychological Services PLLC	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.6M
A Special Touch In-home Care	WV	In Home Supportive Care Agency	$0	$4M
Special Touch Nursing Services, Inc.	WV	In Home Supportive Care Agency	$0	$2.7M
Renal Consultants, PLLC	WV	Specialist	$0	$2.2M
A Special Touch For Seniors, LLC	WV	Case Management Agency	$0	$2M
Bassam Haffar Inc	WV	Gastroenterology Physician	$0	$1.4M
Taylor Eye Associates, PLLC	WV	Optometrist	$0	$1.4M
Total Renal Care Inc	WV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M

Loved Ones In Home Care — Billing Profile & Reimbursement Data

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Loved Ones In Home 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