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

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

Personal Touch Home Care Of Ky, Inc. (NPI 1194994848)

Field	Value
Entity Type	Organization
Organization	Personal Touch Home Care Of Ky, Inc.
Address	600 Meijer Dr Ste 300
City	Florence
State	KY
ZIP	41042
Taxonomy	Home Health Agency
NPI Enumerated	February 27, 2008

Payer Source	Total Paid
Medicaid	$127.2M
Medicare	$0

Key Findings

This provider is effectively single-payer in scope: there is no Medicare billing on file ("none below") while lifetime Medicaid revenue totals $127.2M, indicating the organization’s entire reported Medicare/Medicaid activity is concentrated in Medicaid. Analysts should treat Medicaid as the de facto payer base when assessing utilization, revenue risk, and network positioning.

The NPI was enumerated on 2008-02-27 (~18 years ago), signaling long-standing operations in the market; this tenure supports the high cumulative Medicaid revenue and suggests established billing and supply distribution processes rather than a recent entrant profile.

Revenue is highly concentrated in a small set of supply codes: the precomputed top 3 Medicaid codes account for 60.0% of total Medicaid revenue. Specifically, T4541 accounts for $43.3M (34.1%), T4528 accounts for $19.5M (15.4%), and T4527 accounts for $13.4M (10.5%), showing that a narrow basket of incontinence products drives the majority of receipts.

Code mix and volumes point to a supply-heavy home health operation: the largest revenue contributors are incontinence and absorbent products (T4541, T4528, T4527, T4526, T4532, etc.), while clinical home health visit codes (G0299) and therapy visit codes (G0151, G0152) appear but represent only small portions of revenue ($1.6M for G0299; $668.3K for G0151; $130.3K for G0152). This pattern is consistent with a Home Health Agency that operates as a major DME/supply distributor alongside limited skilled-visit activity.

The provider is a dominant statewide supplier for numerous incontinence and related supply codes: T4541, T4528, T4527, T4526, T4532 and several others rank #1 in Kentucky and are in the 100th percentile, with the top three explicitly labeled as "extreme outlier" versus peers. Even codes where the provider is not #1—such as T4535 (rank #2, 95th percentile) and G0299 (rank #10, 90th percentile)—still sit well above typical state volume, underscoring a market-leading position in supplies.

Detailed volume and payment patterns reinforce the supply-centric business model: the largest code T4541 has 101.2K claims with a $428 avg paid/claim; T4528 has 35.8K claims with a $546 avg paid/claim; T4527 has 29.6K claims with a $453 avg paid/claim. These high claim counts combined with substantial avg paid/claim amounts generate outsized revenue for a relatively small set of HCPCS, amplifying the provider’s dependence on incontinence products.

Beyond the top three, the provider shows concentrated leadership across many related SKUs and ancillary supplies (for example, A4927: 8.8K claims, $90 avg, $791.5K revenue, rank #1; A9286: 12.4K claims, $33 avg, $409.9K revenue, rank #1). This breadth of #1 rankings across supply codes indicates an integrated supply distribution footprint rather than isolated high volume in a single SKU.

From an operational and payer-risk perspective, the heavy reliance on a narrow set of supply codes creates sensitivity to reimbursement policy changes, prior-authorization rules, or state procurement shifts for incontinence supplies. While the provider’s scale and 100th-percentile positioning suggest strong access to beneficiary demand now, analysts should flag concentration risk given that the precomputed top 3 codes already account for 60.0% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4541	Incontinence product, disposable underpad, large, each	101,230	$430	$43.3M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	35,810	$550	$19.5M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	29,610	$450	$13.4M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	26,600	$430	$11.5M
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	17,700	$440	$7.9M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	41,110	$170	$7.2M
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	12,930	$330	$4.2M
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	6,460	$560	$3.6M
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	9,190	$390	$3.6M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	7,000	$400	$2.8M

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Personal Touch Home Care Of Ky, Inc. — 17 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4541	Incontinence product, disposable underpad, large, each	1	40	1,670	$210	$1.4M
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	1	10	2,420	$270	$1.3M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	1	20	920	$370	$1.2M
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	1	10	150	$380	$1.1M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	1	20	780	$270	$893.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	1	30	350	$280	$862.8K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	1	10	180	$440	$697.6K
T4525	Adult sized disposable incontinence product, protective underwear/pull-on, small size, each	1	10	3,220	$250	$687K
T4531	Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each	1	10	2,670	$280	$674.4K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	2	20	1,140	$110	$634.4K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Personal Touch Home Care Of Ky, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Elizabeth Medical Center, Inc	KY	General Acute Care Hospital	$0	$65.5M
Northern Kentucky Consumer Directed Options Program	KY	Supports Brokerage Agency	$0	$52.8M
Healthy Adult Day Healthcare, LLC	KY	Adult Day Care Clinic/Center	$0	$37.7M
Dungarvin Kentucky, LLC - Florence	KY	Developmentally Disabled Services Day Training Agency	$0	$35.3M
Northern Kentucky Consumer Directed Option Program	KY	Supports Brokerage Agency	$0	$27.5M
Personal Touch Home Care Of Ky, Inc.	KY	Home Health Agency	$0	$13.2M
Tri-generations, LLC	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.2M
Bawac, Inc.	KY	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Advanced Technology Of Kentucky Inc.	KY	Oxygen Equipment & Supplies (DME)	$0	$5.1M
Northern Kentucky Center For Pain Relief, LLC	KY	Pain Medicine (Anesthesiology) Physician	$0	$4.8M

Personal Touch Home Care Of Ky, Inc. — Billing Profile & Reimbursement Data

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Personal Touch Home Care Of Ky, Inc. — 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