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    OpenPayerNPI Medicare & MedicaidSupreme Health Care,llc
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    Supreme Health Care,llc — Billing Profile & Reimbursement Data

    NPI 1215143805 · Denver, CO · Homemaker

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    Supreme Health Care,llc is a homemaker provider located in Denver, Colorado. 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
    OrganizationSupreme Health Care,llc
    Address6795 E Tennessee Ave Ste 225
    CityDenver
    StateCO
    ZIP80224
    TaxonomyHomemaker
    NPI EnumeratedMay 14, 2007

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

    Payer SourceTotal Paid
    Medicaid$62.2M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: SUPREME HEALTH CARE,LLC reports no Medicare billing on file and $62.2M in lifetime Medicaid revenue, so its commercial/Medicare exposure is absent in the available data and its financial scale in our dataset is driven entirely by Medicaid activity. Analysts should treat Medicaid as the primary and sole observed public payer channel for this entity.

    Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes together account for 100.0% of the provider’s total Medicaid revenue. The dominant code is T1019 ($45.9M, 73.9% of Medicaid revenue), followed by H0038 ($8.4M, 13.6%) and S5130 ($7.8M, 12.6%), indicating virtually all Medicaid receipts are tied to these three lines.

    The code mix and descriptions point to a core business in personal care and home‑based support services: T1019 (personal care services, per 15 minutes), S5130 (homemaker service, per 15 minutes), and H0038 (self‑help/peer services, per 15 minutes) together imply the organization operates primarily as a home‑and community‑based care vendor providing hands‑on personal assistance and peer support. The listed taxonomy (Homemaker) aligns with this service profile and the per‑15‑minute billing pattern.

    Average paid per claim highlights differences in unit value and service intensity: H0038 shows the highest avg paid/claim at $1092 but represents a smaller share of revenue, while T1019 has a high avg paid/claim of $972 combined with very large volume to produce $45.9M in revenue; S5130’s avg paid/claim is $692. These differences suggest H0038 encounters higher per‑claim payments (or different billing units), but T1019 drives total dollars through scale.

    Competitive standing within the state is mixed: T1019 ranks #58 of 475 providers (88th percentile), which indicates a strong statewide presence for that personal‑care code though not market dominance; H0038 ranks #84 of 276 (70th percentile) and S5130 ranks #87 of 342 (75th percentile), both described as typical or unremarkable volumes, which characterizes the provider as a meaningful but not top‑tier competitor across its other main service lines.

    Tenure is long enough to establish an operational history: the NPI was enumerated on 2007‑05‑14 (≈19 years ago), meaning the entity has been registered in national provider files for nearly two decades and any recent patterns are layered on a long enrollment history. This longevity can inform interpretation of recurring billing patterns.

    There is a notable statistical anomaly with T2034: the file shows 8.2K claims for T2034 but $0 avg paid/claim and $0 revenue, and the provider ranks #1 of 162 in the state (100th percentile; extreme outlier). This combination of high claim counts with no recorded payments is atypical and indicates either a payment coding artifact or a class of billed activity that did not generate Medicaid payments in the claims data; it warrants targeted review by analysts.

    The extreme concentration (100.0% of Medicaid revenue coming from the top three codes) creates operational and reimbursement risk: changes in Medicaid rates, prior‑authorization, medical‑necessity reviews, or code definitions for T1019, H0038, or S5130 would likely have outsized effects on the provider’s revenue stream. Analysts should consider this concentration when assessing financial resilience and contracting leverage.

    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
    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…47,230$970$45.9M
    H0038Self‑help/peer services, per 15 minutes7,720$1,090$8.4M
    S5130Homemaker service, nos; per 15 minutes11,290$690$7.8M
    T2034Crisis intervention, waiver; per diem8,240$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Colorado median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0038Self‑help/peer services, per 15 minutes842802,330$210$4.8M
    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…584805,200$150$3.5M
    S5130Homemaker service, nos; per 15 minutes873403,530$80$1.2M
    T2034Crisis intervention, waiver; per diem1160360$0$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Irn International Corp.COHome Health Agency$0$51M
    Temure IncCOHome Health Agency$0$46.7M
    A Plus Personal Care Provider LLCCOIn Home Supportive Care Agency$0$33.7M
    Monaco Adult Day CareCOAdult Day Care Clinic/Center$0$29.7M
    Respect Home Health, Inc.COHome Health Agency$0$22.2M
    G&b Homecare Services, Inc.COIn Home Supportive Care Agency$0$18.8M
    Four Star Home Care IncCOIn Home Supportive Care Agency$0$13.9M
    Goldin Pharmacy And Medical Supply Inc.COCommunity/Retail Pharmacy$0$11.6M
    Prima Adult Day CareCODevelopmentally Disabled Services Day Training Agency$0$11.5M
    Medstuff IncCOPharmacy$0$9.6M

    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. Colorado Providers
    4 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Colorado Distribution
    Supreme Health Care,llc — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado