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

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

Healthline Consumer Directed Care, LLC (NPI 1154632693)

Field	Value
Entity Type	Organization
Organization	Healthline Consumer Directed Care, LLC
Address	9715 Olive Blvd Ste C
City	Saint Louis
State	MO
ZIP	63132
Taxonomy	Nursing Care Agency
NPI Enumerated	June 30, 2010

Payer Source	Total Paid
Medicaid	$20M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 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…	311,730	$60	$20M
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	30	$80	$1.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Healthline Consumer Directed Care, LLC — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

2 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…	53	1,330	6,550	$80	$4.6M
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	72	90	150	$90	$164.6K

Nearby Providers

Other providers in the same ZIP code as Healthline Consumer Directed Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emerest Health Cds Of Missouri	MO	Personal Care Attendant	$0	$120.3M
Home Delivery Incontinent Supplies Co Inc	MO	Durable Medical Equipment & Medical Supplies	$0	$76.9M
Southern Home Care Services, Inc.	MO	In Home Supportive Care Agency	$0	$44.2M
New Beginnings Cds	MO	In Home Supportive Care Agency	$0	$35.2M
United Cerebral Palsy Heartland	MO	Developmentally Disabled Services Day Training Agency	$0	$30.2M
United Cerebral Palsy Heartland	MO	Developmentally Disabled Services Day Training Agency	$0	$23.9M
Healthline In-home Care, LLC	MO	In Home Supportive Care Agency	$0	$16.5M
Shea Home Care, Inc.	MO	In Home Supportive Care Agency	$0	$11.3M
I Care We Care Home Care, LLC	MO	Home Health Agency	$0	$7.8M
Provision Home Care Inc.	MO	Home Health Agency	$0	$7.6M

Healthline Consumer Directed Care, LLC — Billing Profile & Reimbursement Data

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Healthline Consumer Directed Care, LLC — Billing Profile & Reimbursement Data

Sign up for Healthline Consumer Directed Care, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References