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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Enmrsh, Inc. (NPI 1124101365)

Field	Value
Entity Type	Organization
Organization	Enmrsh, Inc.
Address	2700 E 7th St
City	Clovis
State	NM
ZIP	88101
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$51.9M
Medicare	$0

Key Findings

ENMRSH, INC. is effectively a Medicaid-focused provider with no Medicare billing on file and lifetime Medicaid revenue of $51.9M; the absence of Medicare activity indicates a single‑payer operational footprint in the fee-for-service files provided. This payer concentration implies most financial and utilization risk is tied to state Medicaid policies and waiver program rules rather than Medicare coverage or reimbursement dynamics.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 93.5% of this provider's total Medicaid revenue, with T2016 alone representing $37.7M (72.7%). This concentration shows the business is heavily dependent on a small set of waiver/residential habilitation service lines for the bulk of its billing.

The code mix and descriptions identify ENMRSH as a residential and habilitation operator serving people with intellectual and developmental disabilities: T2016 (Habilitation, residential, waiver; per diem) had 106.9K claims, indicating large-scale residential per diem billing; T2021 (Day habilitation, waiver; per 15 minutes) had 64.8K claims and T2019 and related codes appear as smaller complementary services. Together the per-diem residential and per-15-minute habilitation codes signal that the organization operates both residential care and day habilitation programs under Medicaid waivers.

Competitive standing is mixed across its top codes: for T2016 the provider ranks #5 of 40 in-state (90th percentile) and for H2021 it ranks #6 of 62 (92th percentile), both described as typical, unremarkable volume despite being high absolute dollars; by contrast, T2021 ranks #2 of 52 (98th percentile) and is labeled notably above typical, indicating a strong market position specifically in day habilitation within the state. These rank/percentile placements suggest ENMRSH is a major participant in day habilitation and a higher-volume but not dominant player for residential per diem and wrap-around services.

Operational scale is evident from claim volumes: 106.9K claims for T2016 and 64.8K claims for T2021 reflect sustained, high-frequency service delivery typical of long‑standing residential and day programs rather than episodic clinical care. The presence of 34.8K claims for H2021 (Community-based wrap-around services) further points to bundled or wrap-around support models alongside primary habilitation offerings.

Although most revenue is concentrated in three codes, ENMRSH bills a range of ancillary waiver and attendant-care codes at much smaller levels (for example, T2033 $2.3M, S5125 $535.3K, T2025 $413.1K), indicating some service breadth beyond the primary residential and day habilitation lines. These secondary codes account for the remaining portion of the $51.9M Medicaid revenue and represent complementary services that support their core residential/day habilitation business.

The provider has long tenure in federal enrollment, with an NPI enumerated on 2006-10-23 (~20 years ago), which aligns with the sustained, high-volume claim history across residential and habilitation codes; this longevity supports the interpretation of an established, operationally mature waiver services provider within New Mexico.

Statistical standing labels in the dataset are informative: T2021 is characterized as notably above typical state volume, T2016 and H2021 are characterized as typical/unremarkable volume despite high absolute revenue, and several smaller codes are noted as typical or low percentile activity. These descriptors indicate the provider is a state-level leader in day habilitation while remaining a higher-volume but not outlier participant in residential per diem and wrap-around services.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	106,860	$350	$37.7M
H2021	Community-based wrap-around services, per 15 minutes	34,840	$160	$5.7M
T2021	Day habilitation, waiver; per 15 minutes	64,800	$80	$5.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	13,780	$170	$2.3M
S5125	Attendant care services; per 15 minutes	5,700	$90	$535.3K
T2025	Waiver services; not otherwise specified (nos)	400	$1,030	$413.1K
T2019	Habilitation, supported employment, waiver; per 15 minutes	3,630	$40	$141.5K
T2028	Specialized supply, not otherwise specified, waiver	60	$310	$17.9K
T1002	Rn services, up to 15 minutes	80	$20	$1.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Enmrsh, Inc. — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	5	40	54,080	$360	$22.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	19	40	11,070	$280	$10.8M
H2021	Community-based wrap-around services, per 15 minutes	6	60	6,750	$340	$4.4M
S5125	Attendant care services; per 15 minutes	34	50	10,600	$100	$4.3M
T2021	Day habilitation, waiver; per 15 minutes	2	50	6,810	$120	$1.6M
T2025	Waiver services; not otherwise specified (nos)	29	40	1,010	$360	$1.6M
T2019	Habilitation, supported employment, waiver; per 15 minutes	2	10	2,790	$50	$728K
T1002	Rn services, up to 15 minutes	31	40	1,350	$150	$368.7K
T2028	Specialized supply, not otherwise specified, waiver	5	10	1,040	$360	$350.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clovis Homecare, Inc.	NM	Home Health Agency	$0	$84M
Presbyterian Healthcare Services	NM	Rural Acute Care Hospital	$0	$47.6M
Mental Health Resources, Inc.	NM	Mental Health Counselor	$0	$31M
Absolutely You, LLC	NM	Developmentally Disabled Services Day Training Agency	$0	$26.2M
K-bee Homcare Services, LLC	NM	In Home Supportive Care Agency	$0	$18.3M
Genesis Home Care LLC	NM	Personal Care Attendant	$0	$17.3M
New Mexico Healthcare Services, LLC	NM	Home Health Agency	$0	$16.6M
Enmrsh, Inc.	NM	Early Intervention Provider Agency	$0	$11.6M
Curry Emergency Group LLC	NM	Emergency Medicine Physician	$0	$9.6M
Familia Dentalclovis LLC	NM	General Practice Dentistry	$0	$5.6M

Enmrsh, Inc. — Billing Profile & Reimbursement Data

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Enmrsh, Inc. — 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