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

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

Saint Benedicts Home Health, Inc. (NPI 1205033289)

Field	Value
Entity Type	Organization
Organization	Saint Benedicts Home Health, Inc.
Address	805 E Avenue A
City	Robstown
State	TX
ZIP	78380
Taxonomy	Home Health Agency
NPI Enumerated	July 2, 2007

Payer Source	Total Paid
Medicaid	$200.7M
Medicare	$0

Key Findings

SAINT BENEDICTS HOME HEALTH, INC. shows a near-exclusive reliance on Medicaid: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $200.7M, making the organization effectively a single-payer (Medicaid) operator at scale. The NPI was enumerated on 2007-07-02 (~19 years ago), indicating a long-tenured presence in the Medicaid home-care market.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 98.9% of this provider's total Medicaid revenue, with a single code, S5125, representing $184.3M and 91.8% of Medicaid revenue. That degree of concentration means the provider’s financial performance is overwhelmingly driven by one service line and creates operational and reimbursement exposure tied to that code.

The top code mix reflects a time- and labor-intensive home/community care model: S5125 (Attendant care services; per 15 minutes), T1019 (Personal care services, per 15 minutes), and T1005 (Respite care services, up to 15 minutes) together account for the dominant share of revenue. These codes' descriptions indicate service delivery is primarily attendant/personal/respite care billed in 15-minute units rather than episodic skilled procedures, implying staffing, scheduling, and hour-based capacity are the core operational drivers.

S5125 is a statewide outlier and the dominant revenue driver: S5125 generated $184.3M (91.8% of Medicaid revenue) and ranks #6 of 1678 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). This ranking positions the provider as a major, high-volume specialist in attendant care services relative to Texas peers, likely commanding outsized share of attendant-care claim volume in its market.

T1019 and T1005 are also materially above typical peer volumes but contribute far less revenue than S5125: T1019 produced $11.4M (5.7% of Medicaid revenue) and ranks #41 of 1050 providers (96th percentile; notably above typical state volume), while T1005 produced $2.9M (1.5% of Medicaid revenue) and ranks #15 of 564 providers (98th percentile; notably above typical state volume). Together these codes indicate the provider offers differentiated personal-care and respite capacity at volumes well above many peers, but neither approaches the revenue dominance of S5125.

Other service lines are comparatively minor: T2017 (Habilitation, residential, waiver; 15 minutes) accounts for $2.2M (1.1% of Medicaid revenue) and ranks #16 of 55 providers in-state (72th percentile; typical, unremarkable volume for this code). This suggests the provider’s involvement in residential habilitation/waiver services is present but not a central revenue driver relative to attendant and personal care.

From a competitive and strategic perspective, the provider appears regionally specialized rather than broadly diversified: the extreme dominance in S5125 positions it as a statewide heavyweight in attendant care, while its high percentiles on T1019 and T1005 show above-typical capacity in related personal and respite care lines. Analysts should treat the organization as a labor- and hour-driven home-care operator whose competitive standing is concentrated in a narrow set of Medicaid service codes.

Operational risk and growth implications follow directly from the code mix: because most revenue is generated by per-15-minute attendant/personal/respite codes, sustained revenue growth or decline will likely hinge on workforce availability, utilization of billed minutes, and Medicaid rate or policy changes affecting these codes rather than changes in procedure mix or higher-acuity service lines. Monitoring policy, reimbursement, and provider enrollment changes for S5125 and related time-based personal care codes will be essential to understanding future revenue trajectory.

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
S5125	Attendant care services; per 15 minutes	3,476,500	$50	$184.3M
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…	367,300	$30	$11.4M
T1005	Respite care services, up to 15 minutes	71,520	$40	$2.9M
T2017	Habilitation, residential, waiver; 15 minutes	32,750	$70	$2.2M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Saint Benedicts Home Health, Inc. — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	6	1,680	50,290	$60	$9.5M
T2017	Habilitation, residential, waiver; 15 minutes	16	60	19,340	$80	$3M
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…	41	1,050	23,280	$30	$1.8M
T1005	Respite care services, up to 15 minutes	15	560	8,490	$50	$842.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dor-ans Home Health Service Inc	TX	Home Health Agency	$0	$17.5M

Saint Benedicts Home Health, Inc. — Billing Profile & Reimbursement Data

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Saint Benedicts Home Health, 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