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.

Santana Primary Home Care, Inc. (NPI 1215246863)

Field	Value
Entity Type	Organization
Organization	Santana Primary Home Care, Inc.
Address	119 Emory St
City	San Antonio
State	TX
ZIP	78228
Taxonomy	Personal Care Attendant
NPI Enumerated	September 30, 2010

Payer Source	Total Paid
Medicaid	$30.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	535,620	$60	$30.5M
T1005	Respite care services, up to 15 minutes	2,290	$40	$87.1K

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

Santana Primary Home Care, Inc. — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	111	1,680	50,290	$60	$9.5M
T1005	Respite care services, up to 15 minutes	425	560	8,490	$50	$842.3K

Nearby Providers

Other providers in the same ZIP code as Santana Primary Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Home Health Services - San Antonio LLC	TX	Home Health Agency	$0	$58.8M
Once Upon A Time Home Health, LLC	TX	Home Health Agency	$0	$24.3M
Homelife & Community Services, Inc.	TX	Developmental Disabilities Clinic/Center	$0	$18.6M
Soft Touch Home Care, Inc	TX	Home Health Agency	$0	$14.2M
Metro Treatment Of Texas LP	TX	Methadone Clinic	$70K	$3.9M
Ricardo Alvarado	TX	Pain Medicine Physician	$286.8K	$0
Gerardo Zavala	TX	Neurological Surgery Physician	$198.8K	$0
Ladislau Albert	TX	Neurological Surgery Physician	$144.1K	$0
Mario Juarez	TX	Family Medicine Physician	$91.1K	$0
Sarah Carlson	TX	Physician Assistant	$13.4K	$0

Santana Primary Home Care, Inc. — Billing Profile & Reimbursement Data

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Santana Primary Home Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Santana Primary Home Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References