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

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

Antonina Health Care LLC (NPI 1194116632)

Field	Value
Entity Type	Organization
Organization	Antonina Health Care LLC
Address	6970 S Holly Cir Ste 200
City	Centennial
State	CO
ZIP	80112
Taxonomy	Home Health Agency
NPI Enumerated	February 5, 2015

Payer Source	Total Paid
Medicaid	$36.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: there is no Medicare billing on file while lifetime Medicaid revenue is reported as $36.6M. The absence of Medicare activity indicates the business is concentrated on Medicaid-funded services and could be sensitive to Medicaid policy or rate changes rather than Medicare market dynamics.

Revenue is highly concentrated in three Medicaid codes that together account for 100.0% of the provider's Medicaid revenue. T1019 is listed at $18.9M revenue (51.7% of total Medicaid revenue) with 22.3K claims and $851 avg paid/claim; H0038 is $14.1M revenue (38.5%) with 15.6K claims and $904 avg paid/claim; and S5130 is $3.6M revenue (9.8%) with 8.5K claims and $422 avg paid/claim.

The code mix (T1019, H0038, S5130) points to a service-line focused on personal care, peer/self-help supports, and homemaker services rather than skilled clinical home health visits. Although the taxonomy is Home Health Agency, the dominant codes suggest operations concentrated in home- and community-based support services and long-term services and supports (LTSS) style care delivery.

Competitive standing within Colorado is modest-to-typical across these codes rather than dominant. T1019 ranks #104 of 475 providers in-state (78th percentile) and is described as "typical, unremarkable volume"; H0038 ranks #58 of 276 (79th percentile) and is also characterized as "typical, unremarkable volume"; S5130 ranks #104 of 342 (70th percentile) with the same "typical, unremarkable volume" label, indicating the provider is a steady, mid-to-upper-quartile participant but not a statewide market leader for these services.

High claim counts and relatively large average paid-per-claim values underlie the revenue profile: 22.3K claims for T1019 at $851 avg paid/claim and 15.6K claims for H0038 at $904 avg paid/claim drive the majority of dollars. These metrics suggest a business model that scales via frequent, time-based service units (per 15-minute billing for T1019 and H0038) rather than episodic high-acuity procedures.

With an NPI enumeration date of 2015-02-05 (~11 years ago), the provider has an established presence in the market long enough to have built recurring Medicaid caseloads and billing processes. That tenure, combined with concentrated Medicaid revenue, suggests operational experience in state Medicaid billing and program requirements.

Strategically, the combination of single-payer reliance (Medicaid-only), concentrated code exposure (top 3 codes = 100.0% of Medicaid revenue), and typical competitive rankings implies both strengths and vulnerabilities: strength in a focused service niche (personal care and peer/homemaker supports) and vulnerability to shifts in Medicaid reimbursement, program eligibility, or in-state competitive dynamics. Analysts should watch Medicaid policy changes and competitive moves among the mid-tier in-state providers for potential impact on this provider's volume and revenue.

Medicaid: Complete Services Breakdown

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

3 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…	22,260	$850	$18.9M
H0038	Self‑help/peer services, per 15 minutes	15,600	$900	$14.1M
S5130	Homemaker service, nos; per 15 minutes	8,500	$420	$3.6M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Antonina Health Care LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	58	280	2,330	$210	$4.8M
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…	104	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	104	340	3,530	$80	$1.2M

Nearby Providers

Other providers in the same ZIP code as Antonina Health Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	CO	Clinical Medical Laboratory	$14.9M	$77.8M
R&a Home Care	CO	Home Health Agency	$0	$83.4M
Highpointe Services	CO	Developmentally Disabled Services Day Training Agency	$0	$24M
Radiology Imaging Associates, PC	CO	Diagnostic Radiology Physician	$0	$18.8M
Mairik Adult Day Care	CO	Adult Day Care Clinic/Center	$0	$16.3M
Dawson Thomas, Inc.	CO	Home Health Agency	$0	$8.8M
South Metro Fire Rescue Fire Protection District	CO	Land Ambulance	$2.2M	$6.1M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.7M
Amerita, Inc.	CO	Home Infusion Therapy Pharmacy	$0	$7.4M
1st Allergy, Asthma And Pediatrics Too, Inc.	CO	Specialist	$0	$6.8M

Antonina Health Care LLC — Billing Profile & Reimbursement Data

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Antonina Health 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

Nearby Providers

Frequently Asked Questions

References