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

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

The Whole Person, Inc. (NPI 1225168933)

Field	Value
Entity Type	Organization
Organization	The Whole Person, Inc.
Address	3710 Main St
City	Kansas City
State	MO
ZIP	64111
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$203.1M
Medicare	$0

Key Findings

THE WHOLE PERSON, INC. is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and $203.1M in lifetime Medicaid revenue, indicating its entire reported revenue footprint in these datasets is Medicaid‑driven rather than split across Medicare and Medicaid. This payer concentration should be treated as the baseline for competitive and operational analysis.

Revenue is highly concentrated in a very small set of service codes: the precomputed top three Medicaid codes (T1019, S5125, T2025) account for 97.7% of this provider’s total Medicaid revenue. Specifically, T1019 accounts for $147.4M (72.6%), S5125 for $35.8M (17.6%), and T2025 for $15.3M (7.6%), showing the business is built around a narrow set of billable services.

The code mix identifies the organization’s operational focus as hands‑on in‑home supportive care and waiver program services. T1019 (personal care services, per 15 minutes) and S5125 (attendant care services; per 15 minutes) dominate revenue and claim counts, while T2025 (waiver services, NOS) further signals a reliance on Medicaid waiver program funding and administration rather than medical or skilled nursing services.

Competitive standing in Missouri is extreme for several core service lines: T1019 revenue ($147.4M, 2.1M claims) ranks #2 of 1,332 providers in‑state and is labeled an "extreme outlier, far above typical state volume for this code," indicating the provider is a dominant statewide player in personal care services. S5125 revenue ($35.8M, 416K claims) ranks #1 of 5 providers and is described as "notably above typical state volume," further supporting a leadership position in attendant care. T2025 ranks #1 of 3 providers but is characterized as "typical, unremarkable volume" for that specific code, suggesting strong niche coverage of waiver NOS claims without the same extreme outlier status.

Operational scale is evident from very large claim volumes and consistent per‑claim payments: T1019 shows 2.1M claims at $71 avg paid/claim, S5125 shows 416K claims at $86 avg paid/claim, and T2025 shows 178.3K claims at $86 avg paid/claim. The high claim counts across per‑15‑minute service codes imply substantial workforce, scheduling, and care management infrastructure to support frequent short‑interval billing.

There is material reliance on a single service type for revenue stability and growth: T1019 alone represents 72.6% of Medicaid revenue, creating concentration risk if state policy, reimbursement rules, or utilization patterns shift for personal care services. While S5125 and T2025 provide diversification within waiver‑related services, together they still leave the provider heavily weighted toward personal/attendant care reimbursement models.

Smaller but notable ancillary service lines include T2040 (financial management, self‑directed, waiver; $2.8M, 48K claims, 1.4% of revenue, rank #1 of 19 and labeled an extreme outlier for that code), T1001 (nursing assessment; $1.4M, 29.6K claims, 0.7% of revenue, 94th percentile), and T1028 (home/environment assessment; $321.3K, 4.5K claims, 0.2% of revenue, 89th percentile). These codes indicate the provider also offers waiver fiscal management and assessment services that complement its high‑volume personal and attendant care operations.

The provider has an established operating history: its NPI was enumerated on 2007-03-06 (~19 years ago), supporting the interpretation that observed scale and ranking positions are the result of long‑term presence and growth in Missouri’s Medicaid home‑ and waiver‑based care markets. Longevity paired with extreme outlier rankings suggests entrenched market share in core service lines rather than a recent, short‑term spike.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,075,560	$70	$147.4M
S5125	Attendant care services; per 15 minutes	415,990	$90	$35.8M
T2025	Waiver services; not otherwise specified (nos)	178,320	$90	$15.3M
T2040	Financial management, self-directed, waiver; per 15 minutes	48,020	$60	$2.8M
T1001	Nursing assessment / evaluation	29,630	$50	$1.4M
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	4,530	$70	$321.3K
T2028	Specialized supply, not otherwise specified, waiver	350	$90	$31.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

The Whole Person, Inc. — 4 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	1	10	21,120	$90	$8.5M
T2025	Waiver services; not otherwise specified (nos)	1	10	5,770	$90	$5.3M
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…	2	1,330	6,550	$80	$4.6M
T1001	Nursing assessment / evaluation	24	420	1,610	$50	$378.4K
T2040	Financial management, self-directed, waiver; per 15 minutes	1	20	850	$70	$250.4K
T2028	Specialized supply, not otherwise specified, waiver	5	10	220	$120	$198.9K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	11	90	150	$90	$164.6K

Nearby Providers

Other providers in the same ZIP code as The Whole Person, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Choice, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.6M
St Lukes Hospital Of Kansas City	MO	General Acute Care Hospital	$0	$18.7M
United Seating And Mobility LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$8.8M
Midwest Home Health Care, Inc.	MO	Homemaker	$0	$4.3M
Kalista Engelman	MO	Rheumatology Physician	$1.7M	$0
Julian Magadan	MO	Rheumatology Physician	$1.7M	$0
Tina Shah	MO	Rheumatology Physician	$1.6M	$0
Kent Huston	MO	Rheumatology Physician	$1.5M	$0
Michael Cassell	MO	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Hillary Bownik	MO	Gastroenterology Physician	$959.9K	$0

The Whole Person, Inc. — Billing Profile & Reimbursement Data

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The Whole Person, 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