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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

H&t Medicals, Inc (NPI 1134119381)

Field	Value
Entity Type	Organization
Organization	H&t Medicals, Inc
Address	1738 Broad St
City	Cranston
State	RI
ZIP	02905
Taxonomy	Home Health Agency
NPI Enumerated	October 27, 2005

Payer Source	Total Paid
Medicaid	$14.8M
Medicare	$0

Key Findings

H&T MEDICALS, INC shows no Medicare billing on file and a Medicaid-only revenue base of $14.8M, making it effectively a single-payer Medicaid-focused home health agency. The absence of Medicare activity means the provider’s financial exposure and strategic positioning are concentrated entirely within Medicaid reimbursement and state-level policy decisions.

Revenue is highly concentrated in a very narrow set of services: the precomputed top three Medicaid codes account for 98.4% of the provider’s total Medicaid revenue. Those three codes are S5125 ($11.7M, 78.8% of Medicaid revenue), S5130 ($2.2M, 14.8%), and S9122 ($703.5K, 4.7%), indicating that a small code mix drives nearly all reported revenue.

The code mix—dominated by S5125 (attendant care services; per 15 minutes), S5130 (homemaker service, nos; per 15 minutes), and S9122 (home health aide or certified nurse assistant; per hour)—signals an operational focus on personal care and homemaker/attendant services rather than primarily skilled nursing. Nursing assessment (T1001) is present but small at $240.8K (1.6% of Medicaid revenue), suggesting clinical assessment exists mainly as an ancillary function supporting personal care delivery.

Operational scale is evident in claims volumes and unit payments: S5125 shows 151.9K claims at $77 avg paid/claim, S5130 shows 44K claims at $50 avg paid/claim, and S9122 shows 7.3K claims at $96 avg paid/claim. These large claim counts for per-15-minute codes imply high-frequency, short-interval service delivery consistent with attendant and homemaker models rather than episodic skilled visits.

State-level competitive standing is solid but not dominant for its top lines. S5125 ranks #12 of 83 providers in-state (87th percentile) yet is described as “typical, unremarkable volume for this code,” S5130 ranks #7 of 34 (82th percentile) and is also characterized as typical, and S9122 ranks #5 of 13 (67th percentile); collectively this points to above-average market presence in attendant/homemaker services but not an outlier or market monopolist.

The provider’s tenure is long-standing: NPI enumerated on 2005-10-27 (~21 years ago), indicating sustained participation in Medicaid programs and an established operational footprint in the state. That duration supports the observed large cumulative claim volumes and familiarity with state Medicaid billing processes.

Concentration risk is material given the reliance on a few service codes for nearly all revenue; changes to Medicaid coverage, reimbursement rates, or utilization policies for S5125/S5130/S9122 could substantially affect the provider’s revenue. The provider’s lack of Medicare activity further reduces diversification options to mitigate state-level Medicaid policy shifts.

Although the bulk of revenue comes from attendant and homemaker codes, there is a measurable nursing-assessment presence: T1001 recorded 2.5K claims at $98 avg paid/claim for $240.8K in revenue (1.6% of Medicaid revenue), ranking #12 of 42 providers in-state (73th percentile). This suggests nursing assessment is a smaller but established component of the service mix, likely supporting care planning and eligibility for the high-volume personal care services.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	151,940	$80	$11.7M
S5130	Homemaker service, nos; per 15 minutes	44,010	$50	$2.2M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	7,330	$100	$703.5K
T1001	Nursing assessment / evaluation	2,460	$100	$240.8K

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.

Claims Volume vs. Rhode Island Distribution

H&t Medicals, Inc — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	12	80	13,620	$120	$7.8M
S5130	Homemaker service, nos; per 15 minutes	7	30	10,010	$100	$1.9M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	5	10	2,650	$130	$1M
T1001	Nursing assessment / evaluation	12	40	460	$100	$164.4K

Nearby Providers

Other providers in the same ZIP code as H&t Medicals, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women & Infants Hospital Of Rhode Island	RI	General Acute Care Hospital	$0	$132.1M
Elmwood Home Care, Inc.	RI	Home Health Agency	$0	$38.6M
R.i.s.a.t., LLC	RI	Methadone Clinic	$321.1K	$14M
Meeting Street Center	RI	Early Intervention Provider Agency	$0	$13.8M
The Providence Community Health Centers, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$13.4M
Rhode Island Hospital	RI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.2M
Women And Infants Hospital	RI	General Acute Care Hospital	$0	$12.6M
The Providence Community Health Centers, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$8.3M
Renaissance Adhc, LLC	RI	Adult Day Care Clinic/Center	$0	$7.4M
Catherine Allen	RI	Mental Health Counselor	$0	$7.4M

H&t Medicals, Inc — Billing Profile & Reimbursement Data

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H&t Medicals, 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