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    OpenPayerNPI Medicare & MedicaidYour Choice Of Home Care LLC
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    Your Choice Of Home Care LLC — Billing Profile & Reimbursement Data

    NPI 1235777228 · Warwick, RI · Home Health Agency

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    Your Choice Of Home Care LLC is a home health agency provider located in Warwick, Rhode Island. This profile covers 0 Medicare and 3 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
    OrganizationYour Choice Of Home Care LLC
    Address422 Post Rd
    CityWarwick
    StateRI
    ZIP02888
    TaxonomyHome Health Agency
    NPI EnumeratedDecember 20, 2019

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

    Payer SourceTotal Paid
    Medicaid$54.7M
    Medicare$0

    Key Findings

    YOUR CHOICE OF HOME CARE LLC is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while reported Medicaid revenue totals $54.7M. This means all observable fee‑for‑service activity in the dataset is concentrated in Medicaid claims and payments, with no parallel Medicare revenue stream to diversify payer risk.

    Revenue concentration is extreme: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, and a single code, S5125, alone represents $53.3M (97.4% of Medicaid revenue). That level of concentration indicates the business is overwhelmingly driven by one service line rather than a broad mix of billable activities.

    Operational profile aligns with hands‑on personal care: S5125 (Attendant care services; per 15 minutes) comprises 348.2K claims with an average paid/claim of $153 and $53.3M revenue, reflecting a high‑volume attendant/personal care operation. The presence of S5130 (Homemaker service, nos; per 15 minutes) at 16.4K claims and T1001 (Nursing assessment / evaluation) at 3.9K claims suggests the agency combines personal care attendants with basic homemaker supports and periodic nursing assessments to manage care.

    Competitive standing for S5125 is strong within the state: the provider ranks #5 of 83 in Rhode Island (95th percentile) for this code and is described as notably above typical state volume. By contrast, S5130 (rank #16 of 34, 55th percentile) and T1001 (rank #7 of 42, 85th percentile) are more typical in-state volumes, indicating dominance concentrated specifically in attendant care rather than across all home‑care codes.

    Claims and per‑claim payment profile are uneven across the top codes: S5125 shows 348.2K claims at $153 avg paid/claim, S5130 shows 16.4K claims at $64 avg paid/claim, and T1001 shows 3.9K claims at $92 avg paid/claim. This mix produces high aggregate revenue largely driven by high volume of S5125 rather than higher unit prices, implying business scale is achieved through minutes/visits rather than higher‑priced clinical services.

    Business risk and strategic implications: because $53.3M of $54.7M Medicaid revenue flows from S5125, the provider is highly sensitive to rate changes, utilization management, or policy shifts affecting attendant care reimbursements. Any payer policy or audit focus on attendant care utilization would disproportionately impact this provider’s revenue and operating model.

    Tenure and market presence: the NPI was enumerated on 2019-12-20 (~7 years ago), indicating the provider has been operating in the Medicaid home‑care market for several years and has already established substantial volume in attendant services. The combination of rapid volume accumulation in S5125 and relatively recent enumeration suggests fast growth in a narrowly defined service line since registration.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes348,210$150$53.3M
    S5130Homemaker service, nos; per 15 minutes16,360$60$1M
    T1001Nursing assessment / evaluation3,870$90$355.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes58013,620$120$7.8M
    S5130Homemaker service, nos; per 15 minutes163010,010$100$1.9M
    T1001Nursing assessment / evaluation740460$100$164.4K

    Nearby Providers

    Other providers in the same ZIP code as Your Choice Of Home Care LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Inner You LLCRIClinical Social Worker$0$8.5M
    Nash CorpRIHomemaker$0$2.3M
    Rhode Island Parent Information Network, IncRICase Management Agency$0$1.6M
    James LeroyRIOral and Maxillofacial Surgery (Dentist)$0$1.2M
    Oes Home Of Ri,inc/ethan PlaceRIAssisted Living Facility$0$1.1M
    Matthew BrennanRIOrthodontics and Dentofacial Orthopedics Dentistry$0$920.6K
    Alternative Integrative Medicine, IncRIPain Medicine Physician$0$840.6K
    Alexander TurchettaRIClinical Psychologist$0$576.8K
    Child And Family Psychiatry, Inc.RIPsychiatry Physician$0$471.3K
    Ocean State Urgent Care Center Of Warwick, LLCRIUrgent Care Clinic/Center$0$460.6K

    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. Rhode Island Providers
    5 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Your Choice Of Home Care LLC — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island