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.

Happy Families (NPI 1306146097)

Field	Value
Entity Type	Organization
Organization	Happy Families
Address	223 Murcia Dr
City	Laredo
State	TX
ZIP	78046
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	October 27, 2010

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	12,220	$700	$8.6M
H2014	Skills training and development, per 15 minutes	28,650	$40	$1.1M
M0123	N/A	9,520	$80	$723.4K
T2020	Day habilitation, waiver; per diem	3,010	$150	$448.3K
M0122	N/A	5,860	$70	$427.7K
M0116	N/A	9,320	$30	$298.3K
M0118	N/A	4,250	$40	$157.4K
M0115	N/A	3,220	$30	$90K
T2025	Waiver services; not otherwise specified (nos)	1,020	$80	$79.6K
T1002	Rn services, up to 15 minutes	1,320	$30	$37.1K

Showing 1–10 of 19

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

Happy Families — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	139	430	5,020	$270	$5.6M
H2014	Skills training and development, per 15 minutes	97	560	9,630	$80	$1.4M
M0123	N/A	74	190	7,520	$80	$861.3K
M0122	N/A	72	120	6,320	$70	$648K
T2020	Day habilitation, waiver; per diem	140	370	2,050	$70	$306.1K
M0116	N/A	59	240	5,200	$30	$250.7K
M0118	N/A	62	100	4,900	$40	$239.6K
S8990	Physical or manipulative therapy performed for maintenance rather than restoration	28	40	1,310	$70	$172.6K
M0115	N/A	67	110	3,810	$30	$159.4K
T2025	Waiver services; not otherwise specified (nos)	27	50	1,070	$70	$142.4K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Happy Families, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlos Casas	TX	Internal Medicine Physician	$191.9K	$0

Happy Families — Billing Profile & Reimbursement Data

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Happy Families — 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