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

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

Gold Horses, LLC (NPI 1275526923)

Field	Value
Entity Type	Organization
Organization	Gold Horses, LLC
Address	411 N King St
City	Alice
State	TX
ZIP	78332
Taxonomy	Home Health Agency
NPI Enumerated	August 29, 2005

Payer Source	Total Paid
Medicaid	$54.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	889,890	$60	$51.6M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	19,650	$50	$982.3K
T1005	Respite care services, up to 15 minutes	13,550	$60	$785.9K
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	1,190	$250	$293.5K
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…	7,570	$40	$280.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	3,470	$60	$211.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,160	$30	$32.5K
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	330	$1	$1.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	16,520	$0	$0
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	110	$0	$0

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Gold Horses, LLC — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	53	1,680	50,290	$60	$9.5M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	58	60	2,200	$330	$2.5M
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…	781	1,050	23,280	$30	$1.8M
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	45	80	1,400	$190	$1.2M
T1005	Respite care services, up to 15 minutes	200	560	8,490	$50	$842.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	637	1,320	1,070	$60	$211.1K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	6	310	1,230	$30	$91.7K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	34	350	520	$50	$75.6K
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	37	60	960	$10	$25.9K
A4216	Sterile water, saline and/or dextrose, diluent/flush, 10 ml	41	60	370	$10	$21.4K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Gold Horses, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Home Healthcare, LLC	TX	Home Health Agency	$0	$56.9M
Lando, Inc.	TX	Home Health Agency	$0	$53.2M
Mi Casa Nursing Services Home Health LLC	TX	Home Health Agency	$0	$47.5M
Community Action Corporation Of South Texas	TX	Early Intervention Provider Agency	$0	$35.2M
Saldivar Coastal Services, Inc.	TX	Personal Care Attendant	$0	$25M
Kristen Sosa	TX	Family Nurse Practitioner	$1.5M	$0
Sergio Cantu	TX	Family Medicine Physician	$1.1M	$0
Suraj Kamat	TX	Cardiovascular Disease Physician	$569.3K	$0
Carlos Elizondo	TX	Family Medicine Physician	$366.6K	$0
Usman Qureshi	TX	Cardiovascular Disease Physician	$219.5K	$0

Gold Horses, LLC — Billing Profile & Reimbursement Data

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Gold Horses, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References