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

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

Lel Home Services, LLC (NPI 1124321500)

Field	Value
Entity Type	Organization
Organization	Lel Home Services, LLC
Address	5555 W 73rd St
City	Indianapolis
State	IN
ZIP	46268
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	December 7, 2010

Payer Source	Total Paid
Medicaid	$62.2M
Medicare	$0

Key Findings

LEL HOME SERVICES, LLC is effectively a Medicaid-focused operator: the entity has no Medicare billing on file and reports $62.2M in lifetime Medicaid revenue, making it de facto single‑payer at scale for the dataset provided. The lack of Medicare claims suggests the organization’s business model and service lines are concentrated in state Medicaid programs rather than fee‑for‑service Medicare markets.

Revenue is heavily concentrated in a small set of service codes: the top three Medicaid codes (T2016, T2033, S5125) together account for 80.4% of this provider’s total Medicaid revenue. Individually, T2016 represents $23.9M (38.4%), T2033 $18M (28.9%), and S5125 $8.2M (13.1%), indicating a narrow revenue base dependent on a few high‑volume waiver and attendant‑care services.

The code mix indicates a core focus on residential habilitation and waiver services plus attendant care: T2016 (Habilitation, residential, waiver; per diem) and T2033 (Residential care, NOS, waiver; per diem) together make up the largest share of revenue, while S5125 (Attendant care services; per 15 minutes) is a material tertiary source. This pattern is consistent with an in‑home supportive care agency that structures much of its revenue around Medicaid waiver per‑diem payments and time‑based attendant services.

Per‑claim payment levels amplify the revenue picture: T2016 shows a $568 avg paid/claim and S5125 a $457 avg paid/claim, both substantially higher on a per‑claim basis than several other listed codes (for example, T2033 $261 avg paid/claim and T2020 $214 avg paid/claim). Those higher per‑claim amounts combined with high claim volumes on T2016 and S5125 drive a disproportionate share of dollars even when claim counts differ.

Competitive standing in the state market is mixed but generally strong for the provider’s specialties: T2033 ranks #3 of 52 providers in‑state (96th percentile), indicating a top‑tier position for residential CARE waiver per diems; T2016 ranks #6 of 65 (92th percentile) and S5125 ranks #8 of 109 (94th percentile), which together show consistently above‑average market presence for core services. S5151 (Unskilled respite care; per diem) is particularly notable, ranking #2 of 41 providers in‑state (98th percentile), signaling a near‑leading position in respite services.

Despite the large dollar concentration in a few codes, the dataset’s volume characterizations label these top codes as routine: T2016, T2033, S5125 and S5151 are each described as "typical, unremarkable volume for this code." In plain terms, the provider generates a high share of Medicaid revenue from a small set of services but does so at volumes that the reference data regard as within the common range for those codes rather than statistical extremes.

Tenure is long enough to suggest an established operation: the NPI was enumerated on 2010-12-07 (~16 years ago), indicating multiple years of participation in Medicaid programs and a sustained presence in the state market. That duration supports the observed large cumulative Medicaid revenue ($62.2M) and repeated high claim volumes for waiver and attendant services.

From a risk and diversification perspective, the provider is exposed to policy or reimbursement changes in Medicaid waiver and attendant‑care lines: with 80.4% of Medicaid revenue tied to T2016, T2033, and S5125, any material shifts in Medicaid waiver eligibility, per‑diem rates, or time‑unit reimbursement for attendant care could disproportionately affect overall revenue. Analysts assessing contracting or valuation should prioritize monitoring state waiver policy and per‑claim rates for these specific codes.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	42,040	$570	$23.9M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	68,800	$260	$18M
S5125	Attendant care services; per 15 minutes	17,870	$460	$8.2M
S5151	Unskilled respite care, not hospice; per diem	29,570	$260	$7.8M
T2020	Day habilitation, waiver; per diem	13,860	$210	$3M
T2002	Non-emergency transportation; per diem	4,970	$120	$596.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,050	$170	$528.3K
H2032	Activity therapy, per 15 minutes	3,320	$90	$285.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Lel Home Services, LLC — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	6	70	3,190	$630	$14.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	3	50	1,090	$180	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	41	70	3,960	$130	$1.9M
S5125	Attendant care services; per 15 minutes	8	110	2,590	$140	$1.5M
T2020	Day habilitation, waiver; per diem	15	60	5,550	$110	$1.4M
S5151	Unskilled respite care, not hospice; per diem	2	40	970	$220	$1.3M
H2032	Activity therapy, per 15 minutes	11	30	1,780	$70	$942.2K
T2002	Non-emergency transportation; per diem	18	70	2,190	$50	$319.8K

Nearby Providers

Other providers in the same ZIP code as Lel Home Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pike Medical Consultants PC	IN	Pulmonary Disease Physician	$0	$10.2M
Northwest Radiology Network P C	IN	Diagnostic Radiology Physician	$0	$9.5M
The Indiana Institute For Behavior Analysis, Inc	IN	Community/Behavioral Health Agency	$0	$9.1M
Am-pm Homes Health Services LLC	IN	Home Health Agency	$0	$9M
The Health And Hospital Corporation Of Marion County	IN	Federally Qualified Health Center (FQHC)	$0	$8.9M
United Seating And Mobility LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$7.9M
Transcend Orthotics & Prosthetics, LLC	IN	Prosthetic/Orthotic Supplier	$0	$6.5M
Cornerstone Associates, LLC	IN	Developmentally Disabled Services Day Training Agency	$0	$6.2M
Lincare Inc	IN	Durable Medical Equipment & Medical Supplies	$0	$6M
At Home Health Equipment, LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$5.5M

Lel Home Services, LLC — Billing Profile & Reimbursement Data

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Lel Home Services, LLC — 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