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

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

Segnik Group Inc (NPI 1124012877)

Field	Value
Entity Type	Organization
Organization	Segnik Group Inc
Address	7001 Corporate Dr
City	Houston
State	TX
ZIP	77036
Taxonomy	Home Health Agency
NPI Enumerated	September 8, 2005

Payer Source	Total Paid
Medicaid	$87.3M
Medicare	$0

Key Findings

SEGNIK GROUP INC is effectively a Medicaid-focused operator: there is no Medicare billing on file while total Medicaid revenue is $87.3M, indicating the organization derives its entire recorded federal program income from Medicaid. This payer concentration implies the provider’s financial performance and growth are tightly tied to Medicaid policy and waiver program rules in Texas.

Revenue is highly concentrated in a small set of service lines: the provider’s top three Medicaid codes (T2016, M0361, M0355) together account for 61.3% of its Medicaid revenue. Individually those top codes are T2016 ($38.3M, 43.9%), M0361 ($7.8M, 9.0%), and M0355 ($7.3M, 8.4%), meaning a policy or utilization shift affecting any of these codes would materially impact overall revenue.

The code mix and descriptions point to a core business in home- and community-based habilitation and attendant services. The largest single code, T2016 (Habilitation, residential, waiver; per diem) at $38.3M and 211.9K claims suggests substantial residential/waiver habilitation operations, while high volumes of personal care and attendant codes such as T1019 (88.9K claims, $6.6M) and S5125 (80K claims, $5.2M) indicate extensive in-home support and attendant-care activity.

Competitive standing across specific Medicaid codes is mixed: for T2016 the provider ranks #6 of 109 in-state (95th percentile) and is described as a typical, unremarkable volume performer for that code despite generating $38.3M. By contrast, for M0361 the provider ranks #1 of 8 in-state (100th percentile) and is labeled notably above typical state volume, signaling dominant statewide share for that particular code.

The provider demonstrates multiple instances of above-peer performance on niche codes tied to specific services. Examples include M0361 (48.9K claims, $7.8M, rank #1 of 8; notably above typical state volume), M0241 (15.4K claims, $1.7M, rank #1 of 7; notably above typical state volume), and M0145 (4.3K claims, $387K, rank #1 of 9; notably above typical state volume), which together show the organization holds leading positions for several specialized Medicaid line items in Texas.

Operational scale is substantial in per-claim volume and counts for waiver and in-home services: T2016 accounts for 211.9K claims and other high claim counts include T1019 at 88.9K claims and S5125 at 47.8K claims, demonstrating high throughput across residential habilitation and personal/attendant care programs. These claim volumes reflect a provider with capacity to deliver frequent, recurring services rather than episodic acute care.

The presence and ranking on COVID-era infusion code M0241 (15.4K claims, $1.7M; rank #1 of 7, 100th percentile; notably above typical state volume) indicates the provider supplied significant in-home infusion or injection services during the COVID-19 public health emergency relative to peers. That capability suggests operational experience with home-based clinical interventions beyond routine personal care and habilitation.

SEGNIK GROUP INC has an established presence: its NPI was enumerated on 2005-09-08 (~21 years ago), which signals long tenure in the market. Given the combination of long tenure, large Medicaid revenue ($87.3M), and concentration in a few high-revenue waiver and attendant codes (top three = 61.3%), the provider shows both scale in Medicaid home- and community-based services and exposure to policy or rate changes affecting those specific codes.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	211,860	$180	$38.3M
M0361	N/A	48,920	$160	$7.8M
M0355	N/A	37,020	$200	$7.3M
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…	88,930	$70	$6.6M
S9125	Respite care, in the home, per diem	47,820	$110	$5.2M
S5125	Attendant care services; per 15 minutes	79,990	$70	$5.2M
T1005	Respite care services, up to 15 minutes	44,140	$90	$3.8M
H2015	Comprehensive community support services, per 15 minutes	42,370	$80	$3.4M
T2040	Financial management, self-directed, waiver; per 15 minutes	49,450	$40	$1.8M
M0241	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's…	15,380	$110	$1.7M

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Segnik Group Inc — 6 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	677	1,680	50,290	$60	$9.5M
T2016	Habilitation, residential, waiver; per diem	6	110	6,810	$200	$8.1M
M0355	N/A	2	10	17,420	$290	$6.2M
S9125	Respite care, in the home, per diem	4	20	18,690	$100	$3.5M
M0361	N/A	1	10	9,410	$190	$3.2M
T2017	Habilitation, residential, waiver; 15 minutes	45	60	19,340	$80	$3M
T2040	Financial management, self-directed, waiver; per 15 minutes	9	40	4,490	$30	$2.5M
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…	187	1,050	23,280	$30	$1.8M
T2022	Case management, per month	46	50	2,920	$180	$1.6M
H2015	Comprehensive community support services, per 15 minutes	8	120	2,880	$100	$1.2M

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pema Healthcare Services, Inc	TX	Home Health Agency	$0	$64.6M
Evergreen Healthcare Services, Inc.	TX	Home Health Agency	$0	$51.5M
Advanced Healthcare Professionals, Inc.	TX	Home Health Agency	$0	$50.1M
Asian American Health Coalition Of The Greater Houston Area	TX	Federally Qualified Health Center (FQHC)	$0	$36.7M
Favor Community Care Of Texas, Inc	TX	Personal Care Attendant	$0	$31.8M
Reez Healthcare LLC	TX	Home Health Agency	$0	$26.6M
Essence Health Care, Inc.	TX	Home Health Agency	$0	$21.1M
Mm Tran, Inc.	TX	Personal Care Attendant	$0	$20.8M
Beloved Home Health Services,inc	TX	Exclusive Provider Organization	$0	$19.9M
1 On 1 Kf Homes Inc.	TX	Developmentally Disabled Services Day Training Agency	$0	$18.6M

Segnik Group Inc — Billing Profile & Reimbursement Data

Sign up for Segnik Group Inc — Billing Profile & Reimbursement Data policy alerts

Segnik Group Inc — Billing Profile & Reimbursement Data

Sign up for Segnik Group 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