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.

Options Plus Home Care LLC (NPI 1164695680)

Field	Value
Entity Type	Organization
Organization	Options Plus Home Care LLC
Address	1159 Gilmore Ave
City	Winona
State	MN
ZIP	55987
Taxonomy	Home Health Agency
NPI Enumerated	April 4, 2008

Payer Source	Total Paid
Medicaid	$4.7M
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…	42,800	$80	$3.4M
S5130	Homemaker service, nos; per 15 minutes	22,340	$60	$1.3M

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

Options Plus Home Care LLC — 0 of 2 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

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…	105	230	37,580	$70	$8.6M
S5130	Homemaker service, nos; per 15 minutes	64	240	7,130	$40	$1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hiawatha Valley Mental Health Center Inc.	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.8M
Winona Health Services	MN	General Acute Care Hospital	$0	$13.4M
Winona Senior Living, LLC	MN	Assisted Living Facility	$0	$4.3M
Winona Area Ambulance Service, Inc.	MN	Land Ambulance	$444.9K	$1.4M
Matthew Thompson	MN	Family Medicine Physician	$68.8K	$0
Derrick Sanderson	MN	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$64.4K	$0
Mark Martin	MN	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$34.4K	$20.2K
Matthew Hayes	MN	Diagnostic Radiology Physician	$48.3K	$0
Mario Einsman	MN	Clinical Social Worker	$41.9K	$1.4K
Everett Beguin	MN	Family Medicine Physician	$37.4K	$0

Options Plus Home Care LLC — Billing Profile & Reimbursement Data

Sign up for Options Plus Home Care LLC — Billing Profile & Reimbursement Data policy alerts

Options Plus Home Care LLC — Billing Profile & Reimbursement Data

Sign up for Options Plus Home 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