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

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

Ozark Adult Personal Care LLC (NPI 1265780944)

Field	Value
Entity Type	Organization
Organization	Ozark Adult Personal Care LLC
Address	1234 E Main St
City	Melbourne
State	AR
ZIP	72556
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	August 28, 2012

Payer Source	Total Paid
Medicaid	$22.2M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: OZARK ADULT PERSONAL CARE LLC reports $22.2M in lifetime Medicaid revenue and has no Medicare billing on file. The absence of any Medicare revenue on record means analyses of its commercial or Medicare-facing strategies are not supported by billings data.

Revenue is extremely concentrated in a single service line: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with T1019 alone representing $21.5M and 96.9% of Medicaid revenue. Such concentration suggests the organization's financial health is heavily dependent on continued Medicaid coverage and reimbursement for that code.

The code mix and taxonomy point to a core business of in-home personal care: T1019 (Personal care services, per 15 minutes) is the dominant code, and the provider's taxonomy is In Home Supportive Care Agency. The heavy reliance on a per-15-minute personal care code implies operational scale in minute-based direct care delivery rather than episodic medical services.

Operational scale is reflected in claim volume: T1019 accounts for 364.6K claims paid at an average of $59 per claim, indicating a high-volume, relatively low-dollar-per-unit service model. By contrast, T1017 (Targeted case management) shows 31K claims at $22 average paid/claim, confirming case management is a meaningful but much smaller revenue stream.

Competitive standing for the primary service is dominant in-state: T1019 revenue places the provider #1 of 139 providers in Arkansas and is described as an "extreme outlier" at the 100th percentile, far above typical state volume for this code. This ranking indicates OZARK ADULT PERSONAL CARE LLC is a major statewide provider of the billed personal care service.

T1017 (Targeted case management) represents a modest complementary line of business: it contributes $682.1K (3.1% of total Medicaid revenue), ranks #8 of 91 in-state, and sits in the 92th percentile with a characterization of "typical, unremarkable volume." This suggests case management supports the core personal care operation but is not a primary revenue driver.

S5125 (Attendant care services) appears on claims but has no recorded paid revenue: 1.7K claims with $0 average paid/claim and $0 revenue, ranking #47 of 75 (38th percentile). Its lack of paid dollars makes S5125 a negligible contributor to financials and possibly a billing artifact or an administratively distinct activity with no reimbursement impact.

The provider has an established tenure in the market: the NPI was enumerated on 2012-08-28 (~14 years ago), consistent with a long-standing operational footprint that has scaled primarily through Medicaid-funded personal care. Given the combination of long tenure and concentrated revenue, any payer or competitor assessment should treat the organization as a specialized, high-volume Medicaid personal care operator with limited diversification into other payers or service lines.

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 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…	364,620	$60	$21.5M
T1017	Targeted case management, each 15 minutes	31,010	$20	$682.1K
S5125	Attendant care services; per 15 minutes	1,700	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Ozark Adult Personal Care LLC — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

3 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…	1	140	18,150	$60	$2.5M
S5125	Attendant care services; per 15 minutes	47	80	4,280	$80	$1.7M
T1017	Targeted case management, each 15 minutes	8	90	1,830	$20	$206.4K

Nearby Providers

Other providers in the same ZIP code as Ozark Adult Personal Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kidspiration Too Pediatric Therapy Services	AR	Developmental Disabilities Clinic/Center	$0	$5.2M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$1.9M
Odyssey Healthcare Operating A, LP	AR	Home Health Agency	$0	$1.4M
Kidspiration Pediatric Therapy Services Too, Inc.	AR	Primary Care Clinic/Center	$0	$1.4M
Adam Gray	AR	Family Medicine Physician	$109.1K	$0

Ozark Adult Personal Care LLC — Billing Profile & Reimbursement Data

Sign up for Ozark Adult Personal Care LLC — Billing Profile & Reimbursement Data policy alerts

Ozark Adult Personal Care LLC — Billing Profile & Reimbursement Data

Sign up for Ozark Adult Personal Care LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References