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    OpenPayerNPI Medicare & MedicaidCaring For You Home Health, Inc
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    Caring For You Home Health, Inc — Billing Profile & Reimbursement Data

    NPI 1174620116 · Brownsville, TX · Home Health Agency

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    Caring For You Home Health, Inc is a home health agency provider located in Brownsville, Texas. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCaring For You Home Health, Inc
    Address441 E Washington St
    CityBrownsville
    StateTX
    ZIP78520
    TaxonomyHome Health Agency
    NPI EnumeratedSeptember 20, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$101.8M
    Medicare$0

    Key Findings

    Caring For You Home Health, Inc appears to operate almost entirely in the Medicaid personal and attendant care space: its lifetime Medicare revenue is listed as none, while total Medicaid revenue is $101.8M, indicating the organization is effectively a single-payer (Medicaid-focused) provider. The absence of Medicare billing on file suggests either no Medicare-certified lines of business or no Medicare claims captured in the dataset.

    Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with S5125 alone representing $92.3M (90.7% of Medicaid revenue). This concentration signals a business model focused overwhelmingly on a narrow set of service types rather than a broad portfolio of home-health services.

    The dominant revenue driver is S5125 (Attendant care services; per 15 minutes), which generated $92.3M across 1.6M claims and accounts for 90.7% of this provider’s Medicaid revenue. Caring For You ranks #12 of 1,678 providers in-state for S5125 and is described as an extreme outlier and 99th percentile performer, indicating market-leading scale for attendant care relative to peers in Texas.

    T1019 (Personal care services, per 15 minutes) is the secondary code, contributing $5.1M (5.0% of Medicaid revenue) across 164.1K claims and ranking #103 of 1,050 in-state (90th percentile). This rank places the provider well above typical state volume for T1019 but not at the extreme level seen with S5125, suggesting a meaningful but more typical participation in personal care services.

    T1005 (Respite care services, up to 15 minutes) contributes $4.4M (4.3% of Medicaid revenue) across 101.8K claims and ranks #8 of 564 in-state (99th percentile), another indication that the provider operates at very high volume for select targeted services beyond attendant care. Together these top three codes (S5125, T1019, T1005) reflect an operational emphasis on hands-on, in-home personal support and short-interval respite care rather than clinical skilled nursing or therapy lines.

    Operational/market positioning is concentrated and regionally dominant for key codes: the combination of a 99th-percentile S5125 rank (#12 of 1,678) and a top-10 rank for T1005 (#8 of 564) identifies Caring For You as a regional leader in high-volume attendant and respite services in Texas, while its T1019 rank (90th percentile) shows strong but less extreme presence for personal care. This mix suggests competitive strength in large-scale personal-care delivery to Medicaid beneficiaries.

    The provider’s NPI enumeration date of 2006-09-20 (~20 years ago) indicates substantial tenure in the market, which aligns with its ability to generate large cumulative Medicaid revenues ($101.8M) and to achieve high-volume rankings for multiple codes. Long-standing operation can imply established referral relationships and operational capacity to deliver high-volume in-home care.

    Smaller-volume codes on file (for example S9124 with $34.5K revenue, 1.3K claims, ranking #37 of 61) show that beyond the three revenue-driving codes the provider has only modest participation in other in-home services. This reinforces the characterization that revenue and service delivery are highly concentrated in attendant/personal/respite care codes rather than a broad set of home-nursing or clinical services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes1,647,550$60$92.3M
    T1019Personal 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…164,120$30$5.1M
    T1005Respite care services, up to 15 minutes101,770$40$4.4M
    S9124Nursing care, in the home; by licensed practical nurse, per hour1,330$30$34.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes121,68050,290$60$9.5M
    S9124Nursing care, in the home; by licensed practical nurse, per hour37602,200$330$2.5M
    T1019Personal 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…1031,05023,280$30$1.8M
    T1005Respite care services, up to 15 minutes85608,490$50$842.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abundant Life Home Health, Inc.TXHome Health Agency$0$68.7M
    Carewell IncTXHome Health Agency$0$35.7M
    San Angel Primary Home Care LLCTXPersonal Care Attendant$0$25.9M
    Alivio Home Health IncTXPersonal Care Attendant$0$24.4M
    Amor Health Services, Inc.TXPersonal Care Attendant$0$20.6M
    Angeles Guardianes Home Health, Inc.TXPersonal Care Attendant$0$15.8M
    Vhs Brownsville Hospital Company LLCTXGeneral Acute Care Hospital$0$14M
    Tesoros De La Fe Home Health, LLC.TXHome Health Agency$0$13.5M
    Acclaim Health Services, Inc.TXHome Health Agency$0$13M
    Tropics Dental PLLCTXDentist$0$11.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Texas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Caring For You Home Health, Inc — 2 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas