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

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

Midwest Home Health Care, Inc. (NPI 1134320484)

Field	Value
Entity Type	Organization
Organization	Midwest Home Health Care, Inc.
Address	801 Park Ave
City	Minneapolis
State	MN
ZIP	55404
Taxonomy	Home Health Agency
NPI Enumerated	May 31, 2007

Payer Source	Total Paid
Medicaid	$73.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer at scale: there is no Medicare billing on file while Medicaid revenue totals $73.5M, indicating the organization’s revenue base is almost entirely driven by Medicaid programs rather than Medicare fee‑for‑service. Analyses of payer mix should treat this entity as a Medicaid‑focused home health operator rather than a mixed‑payer agency.

Revenue is highly concentrated in a very small set of Medicaid service codes — the precomputed top 3 codes account for 94.7% of the provider’s total Medicaid revenue. In particular, T1019 alone represents $56.7M (77.2% of Medicaid revenue), creating a dependence on a single service line for the majority of topline Medicaid receipts.

The code mix and descriptions (T1019, S5130, S5135) point to a business model centered on non‑skilled, per‑15‑minute personal/home supports: intensive personal care (T1019), homemaker services (S5130), and companion care (S5135). This suggests the agency operates as a high‑volume personal care and homemaker services provider rather than a clinically oriented skilled home‑health agency.

T1019 is an outsized driver and a statewide competitive differentiator: the provider ranks #6 of 225 in‑state for T1019 (98th percentile) and is described as an extreme outlier, meaning it bills far more for this code than almost all peers. That rank plus the $56.7M tied to T1019 signals market dominance for per‑15‑minute personal care in Minnesota.

S5130 also represents a major Medicaid line: $7.9M (10.8% of Medicaid revenue) and a #4 of 236 in‑state rank (99th percentile), characterized as notably above typical state volume. S5135 contributes $4.9M (6.7% of Medicaid revenue) and ranks #7 of 52 (88th percentile), which the dataset labels as typical/unremarkable within that smaller peer group — together these two codes complement T1019 but do not match its scale.

Several behavioral‑health/rehabilitative support codes appear at much smaller scale (H2014 $2.5M, 3.4%; H2015 $1.4M, 1.9%), and their ranks (H2014 #64 of 185, 66th percentile; H2015 #21 of 139, 86th percentile) are described as typical or unremarkable. These smaller lines suggest some service diversification into skills training and community support but not large revenue contributors compared with personal care and homemaker services.

Operational metrics underline a volume‑based, per‑unit revenue model: the T1019 line shows 900.6K claims at an average paid/claim of $63, while S5130 shows 220.3K claims at $36 avg paid/claim and S5135 shows 35.4K claims at $138 avg paid/claim. The sheer claim volumes for per‑15‑minute services imply the business scales by high encounter counts and would be sensitive to changes in per‑unit reimbursement rates or utilization policy for those codes.

The provider has a long tenure in the market, with an NPI enumeration date of 2007‑05‑31 (~19 years ago), which combined with top‑tier ranks on core personal‑care codes suggests an established local operating presence and a sustained Medicaid service footprint over time. This longevity supports the interpretation of the observed high volumes as systemic to the business rather than a transient fluctuation.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	900,590	$60	$56.7M
S5130	Homemaker service, nos; per 15 minutes	220,320	$40	$7.9M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	35,420	$140	$4.9M
H2014	Skills training and development, per 15 minutes	13,590	$180	$2.5M
H2015	Comprehensive community support services, per 15 minutes	10,860	$130	$1.4M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Midwest Home Health Care, Inc. — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	6	230	37,580	$70	$8.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	7	50	5,600	$170	$5.9M
H2014	Skills training and development, per 15 minutes	64	190	6,230	$120	$2.2M
S5130	Homemaker service, nos; per 15 minutes	4	240	7,130	$40	$1M
H2015	Comprehensive community support services, per 15 minutes	21	140	2,300	$110	$700.1K

Nearby Providers

Other providers in the same ZIP code as Midwest Home Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nu-way House Inc	MN	Substance Abuse Rehabilitation Facility	$0	$200.8M
Childrens Health Care	MN	Children's Hospital	$0	$100M
Midwest Quality Home Care, Inc.	MN	Home Health Agency	$0	$66.7M
Regents Of The University Of Minnesota	MN	Federally Qualified Health Center (FQHC)	$0	$55.2M
Minnesota Professional Health Services,inc	MN	Home Health Agency	$0	$51.9M
Park Ave Center Inc	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$50.8M
Minnesota Quality Care, Inc.	MN	Home Health Agency	$0	$48.4M
Direct Home Health Care, Inc.	MN	Home Health Agency	$0	$30.7M
Aaa A-z Friendly Languages Inc	MN	Interpreter	$0	$29.4M
Comfort Services LLC	MN	Home Health Agency	$0	$29.1M

Midwest Home Health Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Midwest Home Health Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Midwest Home Health Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Midwest Home Health Care, 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