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    OpenPayerNPI Medicare & MedicaidHomecare Advantage Inc.
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    Homecare Advantage Inc. — Billing Profile & Reimbursement Data

    NPI 1104948439 · Cranston, RI · Nursing Care Agency

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    Homecare Advantage Inc. is a nursing care agency provider located in Cranston, Rhode Island. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHomecare Advantage Inc.
    Address165 Burnside St
    CityCranston
    StateRI
    ZIP02910
    TaxonomyNursing Care Agency
    NPI EnumeratedApril 6, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$12.9M
    Medicare$0

    Key Findings

    HOMECARE ADVANTAGE INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and all reported lifetime government revenue is $12.9M in Medicaid payments, indicating its operations are focused on publicly funded long-term support services rather than fee-for-service Medicare care.

    Revenue is extremely concentrated in one service line: S5125 (Attendant care services; per 15 minutes) accounts for $12.8M and 99.3% of the provider's total Medicaid revenue, so the business is overwhelmingly driven by attendant care delivered in short-interval units.

    The provider’s top three Medicaid codes collectively represent 100.0% of Medicaid revenue, confirming narrow service mix; beyond S5125 the remaining codes (T1001 and S9122) contribute only small, complementary shares of the revenue stream and likely reflect supportive functions such as nursing assessments and home health aide hours.

    Competitive standing on the leading code is modestly strong in-state: S5125 activity ranks #13 of 83 providers in Rhode Island (85th percentile), which places HOMECARE ADVANTAGE INC. above most peers on attendant care volume but not among the very largest state providers of that code.

    Smaller ancillary codes show limited market presence: T1001 (Nursing assessment / evaluation) produced $59.6K and ranks #19 of 42 providers in-state (56th percentile), and S9122 (Home health aide; per hour) produced $33.5K and ranks #10 of 13 providers (25th percentile), suggesting the organization does not compete strongly on assessment or hourly aide revenue relative to many peers.

    The provider has an established operational history, with its NPI enumerated on 2007-04-06 (approximately 19 years ago), which supports continuity and experience in delivering Medicaid-funded home care services in the market.

    Given the product mix—predominantly S5125 attendant care billed in 15-minute units—the organization appears to operate a high-volume, short-interval personal care/attendant service model rather than a home health agency model that would bill broader clinical codes, consistent with its Nursing Care Agency taxonomy.

    From a risk and supply perspective, the extremely high concentration in S5125 (99.3% of Medicaid revenue) means any changes in state policy, rate-setting, or utilization patterns for attendant care could materially affect the provider’s financials; diversification into other reimbursable service codes is minimal based on the reported code share.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes143,500$90$12.8M
    T1001Nursing assessment / evaluation720$80$59.6K
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour200$170$33.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes138013,620$120$7.8M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour10102,650$130$1M
    T1001Nursing assessment / evaluation1940460$100$164.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Homecare Advantage Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Homecare Advantage Chc Inc.RINursing Care Agency$0$2.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joy Home Care Inc.RIHome Health Agency$0$75.4M
    Hope Nursing Home Care, LLCRIHome Health Agency$0$70.6M
    Codac IncRISubstance Use Disorder Rehabilitation Clinic/Center$0$54.3M
    Spurwink RiRIDevelopmentally Disabled Services Day Training Agency$0$39.1M
    Alee Behavioral HealthcareRIBehavior Analyst$0$22M
    Ocean State Dental Group IncRIDentist$0$7.9M
    Home Care Networks, LLCRIHome Health Aide$0$5.7M
    Park Avenue Senior Care, IncRIAdult Day Care Clinic/Center$0$3M
    Cranston Public SchoolsRILocal Education Agency (LEA)$0$2.7M
    City Of CranstonRILand Ambulance$573.8K$1.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Rhode Island Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Homecare Advantage Inc. — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island