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.

Ace Primary Homecare Inc (NPI 1215129168)

Field	Value
Entity Type	Organization
Organization	Ace Primary Homecare Inc
Address	920 W Ferguson St
City	Pharr
State	TX
ZIP	78577
Taxonomy	Home Health Agency
NPI Enumerated	August 14, 2007

Payer Source	Total Paid
Medicaid	$91.9M
Medicare	$0

Key Findings

ACE PRIMARY HOMECARE INC reports no Medicare billing on file and $91.9M in total Medicaid revenue, so its financial footprint is effectively single-payer and dominated by Medicaid receipts rather than Medicare. Analysts should treat Medicaid dynamics as the primary driver of this provider’s revenue performance and risk profile.

The top three Medicaid codes precomputed for this provider account for 100.0% of its Medicaid revenue, indicating extreme revenue concentration by a very small set of service lines. S5125 alone represents $84.4M (91.8% of Medicaid revenue), while T1019 and T1005 each contribute $3.8M (4.1%) and $3.7M (4.1%), respectively.

Given the provider’s taxonomy as a Home Health Agency and the specific codes reported, ACE PRIMARY HOMECARE INC’s operations are overwhelmingly focused on attendant care and personal/respite services delivered in non-institutional settings. The prominence of S5125 (attendant care per 15 minutes), T1019 (personal care per 15 minutes), and T1005 (respite care up to 15 minutes) points to a business model centered on high-volume, time-based personal assistance rather than skilled nursing or physician-driven home health services.

On competitive standing for its dominant code, S5125 ranks #16 of 1678 providers in-state and sits in the 99th percentile, described as notably above typical state volume; this places the provider among the leading Medicaid attendants/personal-care billers in Texas for that code. That rank implies a major in-state role for attendant care services and suggests strong operational scale relative to most peers in the state.

T1005 (respite care) also shows an outsized in-state presence, ranking #12 of 564 providers and in the 98th percentile (notably above typical state volume), indicating the provider is a top-tier respite services biller in Texas. By contrast, T1019 (personal care services) ranks #141 of 1050 providers and is in the 87th percentile (typical, unremarkable volume), so the provider is less exceptional on that specific personal-care measure compared with its attendant-care and respite volumes.

The provider has been enumerated since 2007-08-14 (~19 years ago), reflecting a long tenure in the Medicaid market; this longevity supports the interpretation of established operational capacity and sustained billing patterns rather than a recent surge. Analysts should consider that long history when assessing provider relationships with state Medicaid programs and potential operational resilience.

Because $84.4M (91.8%) of Medicaid revenue is tied to a single code, the provider’s revenue profile is highly concentrated and therefore sensitive to policy, reimbursement, or audit changes that affect attendant care reimbursement. Coupled with the absence of Medicare billing, any Medicaid rate adjustments or utilization shifts for S5125 would have outsized impact on overall revenue.

ACE PRIMARY HOMECARE INC’s strong in-state rankings for S5125 and T1005, combined with its PHARR, TX location, suggest a significant local/regional market presence within Texas’s Medicaid attendant/respite network. For payers and competitors evaluating network composition or contracting strategies, this provider should be considered a prominent Medicaid attendant/respite provider in-state but one whose business is narrowly focused on time-based personal assistance services.

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
S5125	Attendant care services; per 15 minutes	1,481,190	$60	$84.4M
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…	121,460	$30	$3.8M
T1005	Respite care services, up to 15 minutes	79,280	$50	$3.7M

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

Ace Primary Homecare Inc — 2 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	16	1,680	50,290	$60	$9.5M
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…	141	1,050	23,280	$30	$1.8M
T1005	Respite care services, up to 15 minutes	12	560	8,490	$50	$842.3K

Nearby Providers

Other providers in the same ZIP code as Ace Primary Homecare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$62.7M
Guadalupe Home Care Inc	TX	Home Health Agency	$0	$39.3M
San Jose Health Care, LLC	TX	Home Health Agency	$0	$38.7M
Edinburg Pediatric Network LLC	TX	General Practice Physician	$0	$37.2M
All-valley Primary Home Care Inc	TX	Home Health Agency	$0	$27.6M
Canvi Group, LLC	TX	Home Health Agency	$0	$19.9M
Trebar Inc.	TX	Home Health Agency	$0	$19.5M
Liberty Dme, LLC	TX	Durable Medical Equipment & Medical Supplies	$0	$15.3M
Unidos Healthcare, LLC	TX	Home Health Agency	$0	$13.7M
Pharr-san Juan-alamo Isd	TX	Local Education Agency (LEA)	$0	$13.6M

Ace Primary Homecare Inc — Billing Profile & Reimbursement Data

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Ace Primary Homecare 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