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.

Higher Expectations, LLC (NPI 1306096904)

Field	Value
Entity Type	Organization
Organization	Higher Expectations, LLC
Address	6701 Aberdeen Ave
City	Lubbock
State	TX
ZIP	79424
Taxonomy	Home Health Agency
NPI Enumerated	September 19, 2008

Payer Source	Total Paid
Medicaid	$14.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	13,700	$430	$5.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	47,260	$80	$3.7M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	21,550	$70	$1.5M
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…	13,970	$90	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	9,080	$100	$880.4K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	5,240	$120	$639.5K
T1001	Nursing assessment / evaluation	670	$210	$142.3K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	910	$100	$87.7K
S9131	Physical therapy; in the home, per diem	750	$80	$56.7K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	300	$100	$30.1K

Showing 1–10 of 12

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

Higher Expectations, LLC — 3 of 11 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	99	140	29,740	$490	$24.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	19	60	2,200	$330	$2.5M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	306	1,350	1,860	$80	$872.4K
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…	73	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	4	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	1	350	520	$50	$75.6K
T1001	Nursing assessment / evaluation	3	10	170	$100	$54.4K
S9131	Physical therapy; in the home, per diem	3	10	420	$70	$45.6K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	265	340	220	$10	$24.1K
97167	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	10	60	40	$100	$22.1K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$23.4M
Christopher Fuller	TX	Ophthalmology Physician	$3.6M	$0
Cataract & Surgical Center Of Lubbock LLC	TX	Ambulatory Surgical Clinic/Center	$2M	$34.7K
Naga Bushan	TX	Rheumatology Physician	$1.9M	$0
Michel Shami	TX	Ophthalmology Physician	$1.9M	$0
Theerapol Prasertsuntarasai	TX	Rheumatology Physician	$1.1M	$0
James Calmes	TX	Rheumatology Physician	$733.9K	$0
Girish Vallabhan	TX	Urology Physician	$521.6K	$0
Timothy Khater	TX	Ophthalmology Physician	$481.9K	$0
Howard Beck	TX	Urology Physician	$465.8K	$0

Higher Expectations, LLC — Billing Profile & Reimbursement Data

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Higher Expectations, 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