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

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

Minnesota Professional Health Services,inc (NPI 1235218157)

Field	Value
Entity Type	Organization
Organization	Minnesota Professional Health Services,inc
Address	810 E Franklin Ave
City	Minneapolis
State	MN
ZIP	55404
Taxonomy	Home Health Agency
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$51.9M
Medicare	$0

Key Findings

MINNESOTA PROFESSIONAL HEALTH SERVICES,INC is a Home Health Agency based in MINNEAPOLIS, MN with an NPI enumerated 2006-11-02 (~20 years ago). It reports no Medicare billing on file and $51.9M in lifetime Medicaid revenue, indicating the organization operates effectively as a Medicaid-focused provider rather than a dual-payer Medicare/Medicaid operator.

Revenue is highly concentrated in a small set of Medicaid service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. T1019 represents $49.9M (96.3% of the provider's Medicaid revenue) and S5130 represents $1.9M (3.7% of Medicaid revenue), leaving negligible revenue outside these line items.

The mix of codes and the Home Health Agency taxonomy indicate a business model built around personal care and homemaker support rather than skilled home health clinical services. T1019 (personal care services, per 15 minutes) and S5130 (homemaker service, per 15 minutes) are unit-based, time-driven service lines, suggesting operations optimized for high-volume, per-15-minute personal assistance and household support.

T1019 activity is extremely large: 780.1K claims at a $64 avg paid/claim yielding $49.9M in revenue, and the provider ranks #7 of 225 in-state (97th percentile; extreme outlier, far above typical state volume for this code). This ranking and volume position the provider as a dominant statewide supplier of this specific personal care service relative to peers.

S5130 activity is meaningful but much smaller in absolute terms (62.4K claims, $31 avg paid/claim, $1.9M revenue) and the provider ranks #19 of 236 in-state (92th percentile; typical, unremarkable volume for this code). That ranking indicates the provider is a higher-volume participant for homemaker services but not an extreme outlier in that line.

Because there is no Medicare billing on file, the provider’s financial exposure and growth trajectory are tightly coupled to Medicaid policy, reimbursement rates, and program enrollment in Minnesota. The heavy dependence on per-15-minute personal care billing (T1019) creates operational sensitivity to changes in unit valuation, documentation requirements, or eligibility criteria for Medicaid personal care services.

The combination of very high claim volume for T1019 and concentrated revenue share suggests both significant operational scale in community-based personal care and a concentration risk: a small set of time-based service codes drive the provider’s financials. Analysts should treat this profile as a large, Medicaid-centric personal care operator with statewide prominence for T1019 and monitor state-level policy or audit attention that targets high-volume, per-15-minute billed services.

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
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…	780,110	$60	$49.9M
S5130	Homemaker service, nos; per 15 minutes	62,420	$30	$1.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Minnesota Professional Health Services,inc — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	7	230	37,580	$70	$8.6M
S5130	Homemaker service, nos; per 15 minutes	19	240	7,130	$40	$1M

Nearby Providers

Other providers in the same ZIP code as Minnesota Professional Health Services,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nu-way House Inc	MN	Substance Abuse Rehabilitation Facility	$0	$200.8M
Childrens Health Care	MN	Children's Hospital	$0	$100M
Midwest Home Health Care, Inc.	MN	Home Health Agency	$0	$73.5M
Midwest Quality Home Care, Inc.	MN	Home Health Agency	$0	$66.7M
Regents Of The University Of Minnesota	MN	Federally Qualified Health Center (FQHC)	$0	$55.2M
Park Ave Center Inc	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$50.8M
Minnesota Quality Care, Inc.	MN	Home Health Agency	$0	$48.4M
Direct Home Health Care, Inc.	MN	Home Health Agency	$0	$30.7M
Aaa A-z Friendly Languages Inc	MN	Interpreter	$0	$29.4M
Comfort Services LLC	MN	Home Health Agency	$0	$29.1M

Minnesota Professional Health Services,inc — Billing Profile & Reimbursement Data

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Minnesota Professional Health Services,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