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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Heritage Home Healthcare Services, Inc. (NPI 1316029549)

Field	Value
Entity Type	Organization
Organization	Heritage Home Healthcare Services, Inc.
Address	6700 Jefferson St Ne Bldg D2
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	Home Health Agency
NPI Enumerated	October 19, 2006

Payer Source	Total Paid
Medicaid	$141.5M
Medicare	$0

Key Findings

HERITAGE HOME HEALTHCARE SERVICES, INC. is effectively a Medicaid-centric home health agency based in Albuquerque, NM, with total Medicaid revenue of $141.5M and no Medicare billing on file; this makes the provider effectively single-payer (Medicaid) in scale and exposure. The practice has been enumerated since 2006-10-19 (approximately 20 years), indicating long-standing participation in the state Medicaid market.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 95.9% of the provider’s Medicaid revenue. Those codes are T1019 ($65.3M, 46.2% of Medicaid revenue; 960.9K claims, $68 avg paid/claim), 99509 ($48.8M, 34.5% of Medicaid revenue; 160.1K claims, $305 avg paid/claim), and S5125 ($21.5M, 15.2% of Medicaid revenue; 225.8K claims, $95 avg paid/claim).

The code mix and descriptions point to an operation focused on high-volume personal and attendant care: T1019 is personal care services per 15 minutes, 99509 covers in-home visits to support ADLs and self-care, and S5125 is attendant care per 15 minutes. This suggests the agency’s business model emphasizes frequent, time-based delivery of basic daily living supports and attendant services rather than medically intensive home health procedures.

Competitive standing within New Mexico is strong for the provider’s top revenue drivers. T1019 ranks #3 of 89 providers in-state and is identified as notably above typical state volume (98th percentile), while S5125 ranks #2 of 45 and is also notably above typical state volume (98th percentile); 99509 ranks #5 of 82 and sits in the 95th percentile with a label of typical, unremarkable volume, indicating the provider is a major state player specifically for personal and attendant care.

Utilization patterns show very large claim volumes on time-based codes, with 960.9K claims for T1019, 225.8K claims for S5125, and 160.1K claims for 99509. The combination of relatively low per-claim payments for high-claim codes (e.g., $68 avg for T1019 and $95 avg for S5125) alongside a higher per-claim payment for 99509 ($305 avg) indicates reliance on scale and frequent service delivery to generate the reported Medicaid revenue.

Ancillary and care-coordination services represent a small share of revenue: G9006 (coordinated care fee, home monitoring) accounts for $5.7M (4.1% of Medicaid revenue) and is ranked #5 of 79 providers in-state with a typical, unremarkable volume signal; S5110 (home care training, family) and G9005 (risk adjusted coordinated care fee) each contribute negligible revenue ($113.6K and $1.6K respectively) and are described as typical or minimal usage in-state. These smaller lines suggest the provider’s service portfolio is concentrated on direct personal/attendant care rather than remote monitoring or training.

The strong concentration (95.9% of Medicaid revenue tied to three codes) and the absence of Medicare billing create strategic sensitivity: state-level Medicaid rate, coding, or policy changes affecting T1019, 99509, or S5125 could materially affect the business. Given the provider’s high state ranks on those time-based personal and attendant care codes, analysts should classify this entity as a major, Medicaid-dependent personal/attendant care operator in New Mexico with most operational and reimbursement risk linked to changes in those specific codes.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	960,870	$70	$65.3M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	160,060	$310	$48.8M
S5125	Attendant care services; per 15 minutes	225,790	$100	$21.5M
G9006	Coordinated care fee, home monitoring	35,890	$160	$5.7M
S5110	Home care training, family; per 15 minutes	550	$210	$113.6K
G9005	Coordinated care fee, risk adjusted maintenance	120	$10	$1.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Heritage Home Healthcare Services, Inc. — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	5	80	20,990	$310	$16.4M
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…	3	90	92,900	$70	$13.3M
S5125	Attendant care services; per 15 minutes	2	50	10,600	$100	$4.3M
G9006	Coordinated care fee, home monitoring	5	80	3,840	$190	$2M
G9005	Coordinated care fee, risk adjusted maintenance	3	10	1,160	$210	$281.2K
S5110	Home care training, family; per 15 minutes	13	40	340	$200	$202.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Heritage Home Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
800-homecare, Trusted Care At Home	NM	Home Health Agency	$0	$1.9M

Nearby Providers

Other providers in the same ZIP code as Heritage Home Healthcare Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$100M
The New Beginnings LLC	NM	Adult Day Care Clinic/Center	$0	$85.1M
We Care Agency, Inc.	NM	In Home Supportive Care Agency	$0	$60.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Adelante Development Center, Inc.	NM	Personal Care Attendant	$0	$57M
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M
Tspc-nm, LLC	NM	Nursing Care Agency	$0	$28.9M

Heritage Home Healthcare Services, Inc. — Billing Profile & Reimbursement Data

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Heritage Home Healthcare Services, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References