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    OpenPayerNPI Medicare & MedicaidHmong Home Health Care, LLC
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    Hmong Home Health Care, LLC — Billing Profile & Reimbursement Data

    NPI 1306068010 · Saint Paul, MN · Home Health Agency

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    Hmong Home Health Care, LLC is a home health agency provider located in Saint Paul, Minnesota. This profile covers 0 Medicare and 8 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
    OrganizationHmong Home Health Care, LLC
    Address475 Etna St Ste 3
    CitySaint Paul
    StateMN
    ZIP55106
    TaxonomyHome Health Agency
    NPI EnumeratedMay 3, 2007

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

    Payer SourceTotal Paid
    Medicaid$112.6M
    Medicare$0

    Key Findings

    HMONG HOME HEALTH CARE, LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and lifetime Medicaid revenue is $112.6M. The absence of any Medicare revenue indicates the organization’s operations and revenue capture are concentrated almost entirely within state Medicaid programs.

    Revenue concentration is extremely high: the top three Medicaid codes by revenue account for 91.1% of this provider’s total Medicaid revenue, with T1019 alone representing $85.8M (76.2% of Medicaid revenue). S5130 ($9.2M, 8.2%) and S5125 ($7.6M, 6.7%) complete the top-three concentration, showing a narrow revenue base driven by a few service lines.

    Code mix and descriptions point to a predominantly non-skilled personal care and home- and community-based services operation rather than a traditional skilled home-health agency. High weights on T1019 (personal care services per 15 minutes), S5130 (homemaker services), S5125 (attendant care), along with secondary codes such as S5135 (companion care) and H2014/H2015 (skills training and community support), indicate the provider focuses on ongoing activities-of-daily-living, homemaking, attendant support, and community support services.

    Claim-level volume and unit payments underscore a high-volume, low-unit-payment model typical of personal care delivery: T1019 shows 1.3M claims at $67 avg paid/claim generating $85.8M; S5130 shows 264.1K claims at $35 avg paid/claim generating $9.2M; and S5125 shows 60.2K claims at $126 avg paid/claim generating $7.6M. This pattern suggests operational emphasis on frequent, short-interval service visits billed in 15-minute increments.

    The provider is a dominant statewide player for its two largest codes: T1019 ranks #2 of 225 providers in-state (100th percentile; extreme outlier), and S5130 ranks #3 of 236 providers in-state (99th percentile; extreme outlier). In contrast, S5125 ranks #3 of 27 providers in-state (92th percentile; typical, unremarkable volume), indicating the provider’s dominance is concentrated in certain personal-care and homemaker codes rather than across all attendant-care subcategories.

    Heavy dependence on a very small number of codes (91.1% from the top three) creates operational and reimbursement concentration risk: payment policy changes, prior-authorization shifts, or eligibility reforms affecting T1019, S5130, or S5125 could materially affect revenue. Analysts should flag this concentration when modeling revenue sensitivity or contracting negotiations.

    Smaller revenue streams and their competitive positions are mixed but generally modest: S5135 contributes $3.5M (3.1%) and ranks #8 of 52 providers in-state (86th percentile; typical, unremarkable volume); H2014 contributes $2.5M (2.2%) and ranks #53 of 185 providers in-state (72th percentile; typical, unremarkable volume); S5150 contributes $2.1M (1.9%) and ranks #5 of 19 providers in-state (78th percentile; typical, unremarkable volume); H2015 contributes $1.5M (1.4%) and ranks #19 of 139 providers in-state (87th percentile; typical, unremarkable volume); H2032 contributes $299.6K (0.3%) and ranks #49 of 69 providers in-state (29th percentile; typical, unremarkable volume). These lines appear complementary to the core personal-care business but do not materially diversify the revenue base.

    The provider’s NPI was enumerated on 2007-05-03 (~19 years ago), indicating long tenure in the market combined with a substantial Medicaid footprint ($112.6M lifetime revenue). Combined with the lack of Medicare activity, this tenure and scale suggest an established, Medicaid-focused home- and community-based services operator in Saint Paul, MN rather than a generalist Medicare home health competitor.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…1,280,540$70$85.8M
    S5130Homemaker service, nos; per 15 minutes264,080$40$9.2M
    S5125Attendant care services; per 15 minutes60,210$130$7.6M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes35,170$100$3.5M
    H2014Skills training and development, per 15 minutes17,210$150$2.5M
    S5150Unskilled respite care, not hospice; per 15 minutes21,450$100$2.1M
    H2015Comprehensive community support services, per 15 minutes13,670$110$1.5M
    H2032Activity therapy, per 15 minutes1,810$170$299.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Minnesota median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…223037,580$70$8.6M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes8505,600$170$5.9M
    S5125Attendant care services; per 15 minutes3307,060$130$5.2M
    S5150Unskilled respite care, not hospice; per 15 minutes5202,680$150$3.4M
    H2014Skills training and development, per 15 minutes531906,230$120$2.2M
    S5130Homemaker service, nos; per 15 minutes32407,130$40$1M
    H2032Activity therapy, per 15 minutes49703,950$120$1M
    H2015Comprehensive community support services, per 15 minutes191402,300$110$700.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fairview Health ServicesMNLand Ambulance$2.3M$48.5M
    Att Home Health Care Inc.MNHome Health Agency$0$30M
    Express Home Health Care, Inc.MNHome Health Agency$0$29.6M
    West Side Community Health Services, Inc.MNFederally Qualified Health Center (FQHC)$0$23.8M
    Kmjc, LLCMNAssisted Living Facility$0$17M
    James KukwaMNSocial Worker$0$10M
    Overcomer Healthcare Service CorporationMNHome Health Registered Nurse$0$8.5M
    Anew LLCMNAddiction (Substance Use Disorder) Counselor$0$8.3M
    Asian Community Center, LLCMNAdult Day Care Clinic/Center$0$7.3M
    West Side Community Health Services, Inc.MNDental Clinic/Center$0$7M

    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. Minnesota Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Hmong Home Health Care, LLC — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota