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    OpenPayerNPI Medicare & MedicaidLeading Health Care Of La
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    Leading Health Care Of La — Billing Profile & Reimbursement Data

    NPI 1245384346 · Lafayette, LA · In Home Supportive Care Agency

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    Leading Health Care Of La is a in home supportive care agency provider located in Lafayette, Louisiana. This profile covers 0 Medicare and 2 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
    OrganizationLeading Health Care Of La
    Address206 La Rue France
    CityLafayette
    StateLA
    ZIP70508
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedJanuary 23, 2007

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

    Payer SourceTotal Paid
    Medicaid$57.4M
    Medicare$0

    Key Findings

    LEADING HEALTH CARE OF LA is classified as an In Home Supportive Care Agency and its Medicaid billing profile aligns with that taxonomy: the dominant service is attendant/home care. The single largest code billed is S5125 (Attendant care services; per 15 minutes), which reflects hands-on personal attendant services delivered in the community rather than facility-based care.

    Medicaid is effectively the sole payer in the available record — there is no Medicare billing on file and total Medicaid revenue is $57.4M. The provider therefore operates as a near–single-payer Medicaid provider in practical terms, with no measurable Medicare activity to diversify payer risk.

    Revenue concentration is extreme: the precomputed top-3 Medicaid codes together account for 100.0% of the provider's Medicaid revenue, and S5125 alone is listed as $57.4M (100.0% of this provider's total Medicaid revenue). This indicates the organization’s Medicaid book of business is almost entirely driven by one service line and one billing code.

    Claims volume for the dominant code is very large: S5125 shows 258.5K claims at an average paid per claim of $222, which corresponds to the $57.4M revenue attributed to that code. By contrast, T2019 appears only incidentally with 407 claims, $43 avg paid/claim, and $17.5K revenue (0.0% of this provider's total Medicaid revenue), highlighting the narrow service mix.

    Competitive standing within Louisiana for S5125 is unusually strong: the provider ranks #5 of 486 in-state and is described as a 99th percentile, extreme outlier, putting it far above typical state volume for this attendant-care code. For T2019, the provider ranks #10 of 12 (18th percentile), which is an unremarkable position and underscores that their dominance is highly specific to S5125.

    The provider has long tenure in the NPI registry, enumerated on 2007-01-23 (~19 years ago), indicating sustained operation over nearly two decades. That tenure combined with the S5125 scale suggests an established operational footprint in Louisiana’s home-support service market.

    The concentrated reliance on a single high-volume Medicaid code creates both strategic clarity and operational risk: the organization appears optimized for attendant-care delivery at scale, but its revenue is vulnerable to policy, reimbursement, or utilization changes affecting S5125. Analysts should treat this provider as a specialized, high-volume Medicaid attendant-care operator rather than a broadly diversified home- or community-based services vendor.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes258,480$220$57.4M
    T2019Habilitation, supported employment, waiver; per 15 minutes410$40$17.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes549035,970$140$7.3M
    T2019Habilitation, supported employment, waiver; per 15 minutes10103,660$80$296.3K

    Nearby Providers

    Other providers in the same ZIP code as Leading Health Care Of La, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acadian Ambulance Service, Inc.LAAir Ambulance$38.7M$422.7M
    Pediatric Group Of Acadiana, LLCLASpecialist$0$57.5M
    Our Lady Of Lourdes Regional Medical Center, IncLAGeneral Acute Care Hospital$0$54.3M
    Sleep Management, L.L.C.LAOxygen Equipment & Supplies (DME)$0$41.8M
    Medi Trans, LLCLATransportation Broker$0$29.8M
    L & D Community Care, IncLAIn Home Supportive Care Agency$0$24.4M
    Acadiana Acute Care Associates, LLCLAEmergency Medicine Physician$0$20.4M
    Lourdes After Hours LLCLAUrgent Care Clinic/Center$0$20.2M
    Laboratory Corporation Of AmericaLAClinical Medical Laboratory$1.9M$12.4M
    Leading Health Care Of LaLAIn Home Supportive Care Agency$0$12.8M

    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. Louisiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Leading Health Care Of La — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana