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

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

Hope In Home Care LLC (NPI 1164515987)

Field	Value
Entity Type	Organization
Organization	Hope In Home Care LLC
Address	749 J Clyde Morris Blvd
City	Newport News
State	VA
ZIP	23601
Taxonomy	Respite Care
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$63.4M
Medicare	$0

Key Findings

HOPE IN HOME CARE LLC reports no Medicare billing on file and $63.4M in lifetime Medicaid revenue, making its footprint effectively single-payer in scope with Medicaid as the dominant revenue source. Analysts should treat Medicare-level comparisons as not applicable for this entity given the absence of Medicare claims.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with T1019 at 90.3%, T1005 at 8.9%, and G2021 at 0.8%. This concentration indicates the business is driven almost entirely by a narrow set of home- and community-based service codes.

The code mix (T1019, T1005, and G2021) points to a core operation delivering in-home personal care and respite services plus occasional treatment-in-place tips; T1019 is personal care services billed per 15 minutes and T1005 is respite care services up to 15 minutes, while G2021 reflects a treatment-in-place payment for practitioners. Together these codes suggest the provider operates at scale in community-based long-term services and supports, focused on direct care and caregiver relief rather than episodic medical procedures.

T1019 drives the vast majority of revenue with 469.1K claims, a $122 avg paid/claim and $57.2M in revenue (90.3% of Medicaid revenue); the provider ranks #3 of 758 in-state (100th percentile; extreme outlier, far above typical state volume for this code). This rank and volume establish the organization as a dominant statewide supplier of billed personal care services.

T1005 contributes 77.3K claims, a $73 avg paid/claim and $5.6M in revenue (8.9% of Medicaid revenue), ranking #7 of 574 in-state (99th percentile; notably above typical state volume for this code). This indicates substantial scale in respite care relative to most in-state peers and reinforces the provider’s specialization in caregiver support services.

G2021 is a smaller revenue stream at 607 claims, a $805 avg paid/claim and $488.6K in revenue (0.8% of Medicaid revenue), yet the provider ranks #3 of 293 in-state (99th percentile; extreme outlier, far above typical state volume for this code). The high percentile despite modest absolute dollars suggests this provider is an outlier in using the treatment-in-place/tip code relative to most peers.

Other codes are effectively immaterial to the revenue picture: for example, 99509 shows just 27 claims, a $43 avg paid/claim and $1.2K revenue (0.0% of Medicaid revenue), ranking #205 of 212 in-state (3th percentile; typical, unremarkable volume for this code). This confirms the provider’s Medicaid business is not diversified across many service types.

The NPI was enumerated on 2006-10-02 (~20 years ago), indicating long tenure in the market; combined with the concentrated, high-volume Medicaid billing profile, this suggests an established, large-scale operator focused on home- and community-based personal care and respite services in Virginia.

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
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…	469,120	$120	$57.2M
T1005	Respite care services, up to 15 minutes	77,290	$70	$5.6M
G2021	Health care practitioners rendering treatment in place (tip)	610	$810	$488.6K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	30	$40	$1.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Hope In Home Care LLC — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

4 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…	3	760	17,620	$150	$5.5M
T1005	Respite care services, up to 15 minutes	7	570	4,400	$80	$831.8K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	205	210	790	$60	$199.5K
G2021	Health care practitioners rendering treatment in place (tip)	3	290	40	$790	$56.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hope In Home Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope In-home Care LLC	VA	Home Health Agency	$0	$10.2M

Nearby Providers

Other providers in the same ZIP code as Hope In Home Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Hospital Inc	VA	General Acute Care Hospital	$0	$136.7M
Riverside Physician Services, Inc.	VA	Family Medicine Physician	$0	$44.7M
New Life, LLC	VA	Community/Behavioral Health Agency	$0	$10.6M
All Ways There Home Care	VA	Home Health Agency	$0	$9.4M
Riverside Hospital Inc.	VA	Family Medicine Physician	$0	$7.7M
Universal Mental Health Services, LLC	VA	Adolescent and Children Mental Health Clinic/Center	$0	$7.1M
Peninsula Radiological Associates Limited	VA	Diagnostic Radiology Physician	$0	$6.5M
Charles Kersh	VA	Radiation Oncology Physician	$408.8K	$0
Michael Hooker	VA	Orthopaedic Surgery Physician	$382.5K	$0
Brian Holloway	VA	Student in an Organized Health Care Education/Training Program	$377.4K	$0

Hope In Home Care LLC — Billing Profile & Reimbursement Data

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Hope In Home Care 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

Related Providers

Nearby Providers

Frequently Asked Questions

References