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    OpenPayerNPI Medicare & MedicaidVivicare Health Partners, LLC
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    Vivicare Health Partners, LLC — Billing Profile & Reimbursement Data

    NPI 1306001623 · Fort Worth, TX · Home Health Agency

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    Vivicare Health Partners, LLC is a home health agency provider located in Fort Worth, Texas. This profile covers 0 Medicare and 4 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
    OrganizationVivicare Health Partners, LLC
    Address100 Lexington St Ste 326
    CityFort Worth
    StateTX
    ZIP76102
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 25, 2008

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

    Payer SourceTotal Paid
    Medicaid$133.2M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-only billing entity: Total Medicare revenue is listed as none (no Medicare billing on file), while total Medicaid revenue is $133.2M. That single-payer profile means analyses should focus on Medicaid reimbursement trends, policies, and state-level competitors rather than Medicare dynamics.

    Revenue is highly concentrated in a very small set of Medicaid codes: the top 3 codes (T1000, S9124, H2015) together account for 99.2% of the provider's total Medicaid revenue. This concentration indicates that a few service lines drive nearly all reported revenue and that changes to any of these codes would materially affect overall financials.

    T1000 is the dominant revenue driver and defines the provider's operating footprint: with 256.7K claims, a $477 avg paid/claim, and $122.4M in revenue (91.9% of the provider's Medicaid revenue), the provider ranks #2 of 140 in-state and sits in the 99th percentile — described as notably above typical state volume for this code. Given T1000’s description (private duty / independent nursing service(s) - licensed, up to 15 minutes), the organization appears structured around high-volume, in-home licensed nursing care delivered in short units of time.

    S9124 is the secondary revenue source and complements the principal nursing service line: the provider reported 19.1K claims, a $440 avg paid/claim, and $8.4M in revenue (6.3% of Medicaid revenue), ranking #6 of 61 in-state and in the 92th percentile with typical, unremarkable volume. This code (nursing care in the home by LPN, per hour) suggests the operation also provides hourly LPN services that likely support or extend the private-duty nursing model.

    H2015 and T1005 are small, supplementary lines that provide ancillary services rather than diversification: H2015 accounted for $1.3M (1.0% of revenue) with 5.6K claims and ranks #45 of 116 (62th percentile, typical), while T1005 accounted for $1.1M (0.8% of revenue) with 5.6K claims and ranks #336 of 564 (40th percentile, typical). These community support and respite service volumes are modest relative to core nursing services and appear to play a secondary role in the business mix.

    Competitive standing is pronounced for private-duty nursing: the provider’s #2 ranking and 99th percentile position on T1000 identify it as a major statewide player for that service, whereas its rankings on other codes are more middle-of-market. Analysts should therefore treat the provider as a dominant market participant for licensed in-home private-duty nursing while recognizing it is not broadly diversified across many Medicaid service categories.

    The unit economics show both high volume and relatively high per-unit payments: the top codes report average paid/claim amounts of $477 for T1000 and $440 for S9124, indicating that revenue is driven by the combination of very large claim counts and substantial per-unit payments. Because T1000 alone represents $122.4M of the $133.2M total, the provider’s topline is shaped by both sustained utilization and per-claim pricing for licensed in-home nursing.

    The provider has an established tenure in the market, with an NPI enumerated on 2008-07-25 (~18 years ago), which supports the interpretation that its high-volume Medicaid operations and market position for private-duty nursing have been developed over a long operating history. That longevity, combined with the concentrated revenue mix, suggests entrenched capacity and market relationships focused on in-home nursing services.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes256,660$480$122.4M
    S9124Nursing care, in the home; by licensed practical nurse, per hour19,140$440$8.4M
    H2015Comprehensive community support services, per 15 minutes5,620$230$1.3M
    T1005Respite care services, up to 15 minutes5,600$200$1.1M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes214029,740$490$24.4M
    S9124Nursing care, in the home; by licensed practical nurse, per hour6602,200$330$2.5M
    H2015Comprehensive community support services, per 15 minutes451202,880$100$1.2M
    T1005Respite care services, up to 15 minutes3365608,490$50$842.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vivicare Health Partners, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Teamselect Home Care Of Colorado, LLCCOHome Health Agency$0$194.9M
    Teamselect Home Care Of Colorado, LLCCOHome Health Agency$0$42M
    Teamselect Home Care Of Colorado, LLCCOHome Health Agency$0$30.4M
    Teamselect Home Care Of Colorado, LLCCOHome Health Agency$0$28.9M
    Home Health Agency - Arizona LLCAZHome Health Agency$0$28.5M
    Team Select Home Care Of Missouri, Inc.MONursing Care Agency$0$10.7M
    Teamselect Home Care Of Colorado, LLCCOHome Health Agency$0$4.5M

    Nearby Providers

    Other providers in the same ZIP code as Vivicare Health Partners, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Epic Health Services, Inc.TXHome Health Agency$0$30.1M
    Pediatric Home Healthcare, LLCTXHome Health Agency$0$14.6M
    Brian HajovskyTXOphthalmology Physician$1.4M$0
    John ParchueTXOphthalmology Physician$924.7K$0
    Elizabeth MartinezTXFamily Nurse Practitioner$271.5K$0
    Brian FlowersTXOphthalmology Physician$221.8K$0
    Unni NairTXOphthalmology Physician$176.6K$0
    Maria De JesusTXNeurology Physician$157.9K$0
    Laura AbeyTXPhysical Therapist$104.5K$0
    Camille RodriguezTXPodiatrist$77.3K$0

    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. Texas Providers
    5 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Vivicare Health Partners, LLC — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas