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

Why is the Medicaid comparison limited to Kansas 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. Kansas (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.

Helpers, LLC (NPI 1326288556)

Field	Value
Entity Type	Organization
Organization	Helpers, LLC
Address	11806 W 77th St
City	Lenexa
State	KS
ZIP	66214
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 27, 2009

Payer Source	Total Paid
Medicaid	$202.7M
Medicare	$0

Key Findings

HELPERS, LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $202.7M in lifetime Medicaid revenue, indicating the organization’s revenue base is concentrated entirely in Medicaid-funded services. This payer mix implies that changes to Medicaid policy or waiver rules would directly and materially affect the provider’s topline.

Revenue is highly concentrated in a very small set of services: the top 3 Medicaid codes by revenue (T1019, S5125, T2040) account for 95.6% of this provider’s total Medicaid revenue. In particular, T1019 alone represents $145.9M or 72.0% of Medicaid revenue, S5125 contributes $32.5M (16.0%), and T2040 contributes $15.3M (7.5%), showing extreme reliance on a narrow code mix.

The code mix indicates an operational focus on home- and community-based personal and attendant care plus self-directed waiver administration: T1019 (Personal care services, per 15 minutes) and S5125 (Attendant care services; per 15 minutes) are the largest revenue drivers, while T2040 (Financial management, self-directed, waiver; per 15 minutes) points to significant activity in self-directed waiver financial management. Additional billed codes such as T2025 (Waiver services, NOS) and H0045 (Respite care services, not in the home, per diem) further reinforce a service-line centered on waiver and community support rather than institutional care.

HELPERS is a statewide dominant provider for T1019: it ranks #1 of 55 providers in-state (100th percentile) and is labeled an "extreme outlier, far above typical state volume for this code," with 1.4M claims, $105 avg paid/claim, and $145.9M in revenue. This ranking and volume position the provider as the primary in-state supplier of personal care services under T1019 and suggest strategic leverage in that service line.

For T2040 the provider is also a statewide leader, ranking #1 of 19 providers (100th percentile) and described as "notably above typical state volume," with 110K claims, $139 avg paid/claim, and $15.3M revenue. This shows HELPERS holds a top position in financial-management services for self-directed waivers in the state, reinforcing a specialized operational capability beyond direct hands-on care.

S5125 (Attendant care) presents a high but less dominant footprint: HELPERS reports 335.3K claims, $97 avg paid/claim, and $32.5M revenue, ranking #7 of 197 providers in-state (97th percentile) with a characterization of "typical, unremarkable volume for this code." Similarly, T2025 (84.2K claims, $94 avg paid/claim, $7.9M revenue) ranks #7 of 28 (78th percentile) and H0045 (10.3K claims, $100 avg paid/claim, $1M revenue) ranks #1 of 3 (100th percentile) but is described as "typical, unremarkable volume." Together these data indicate HELPERS is a dominant player on a few waiver-related codes while participating at more typical levels on several adjacent services.

HELPERS’ NPI tenure (enumerated 2009-02-27 (~17 years ago)) indicates an established presence in the market, which aligns with the high cumulative claim volumes reported for its leading codes; the longevity supports interpretation of the high volumes as sustained operational scale rather than a recent spike.

The extreme concentration of Medicaid revenue into a handful of waiver/personal-care codes creates both operational leverage and vulnerability: dominance in T1019 and T2040 suggests negotiating or contracting strength in those lines, but the absence of Medicare revenue and the fact that 95.6% of Medicaid revenue comes from the top three codes means the provider is highly exposed to any reimbursement or policy changes affecting those specific service categories.

Medicaid: Complete Services Breakdown

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

5 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…	1,389,580	$110	$145.9M
S5125	Attendant care services; per 15 minutes	335,260	$100	$32.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	110,050	$140	$15.3M
T2025	Waiver services; not otherwise specified (nos)	84,190	$90	$7.9M
H0045	Respite care services, not in the home, per diem	10,350	$100	$1M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Helpers, LLC — 4 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	1	60	21,510	$90	$8.5M
T2025	Waiver services; not otherwise specified (nos)	7	30	44,470	$90	$7.2M
S5125	Attendant care services; per 15 minutes	7	200	1,110	$110	$5.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	1	20	25,600	$130	$5.2M
H0045	Respite care services, not in the home, per diem	1	10	5,590	$100	$533.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborhood Network Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$117M
Community Living Opportunities, Inc	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$27.6M
Magic Kitchen, Inc.	KS	Home Delivered Meals	$0	$13.7M
Vitas Healthcare Corporation Midwest	KS	Community Based Hospice Care Agency	$0	$5.6M
Bethlehem Gelaw	KS	Diagnostic Radiology Physician	$1.5M	$1.3K
Goodlife Innovations Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$1.3M
Clinical Associates PA	KS	Specialist	$0	$1.1M
Arj Infusion Services, LLC	KS	Home Infusion Therapy Pharmacy	$0	$1M
United Transportation L.L.C	KS	Non-emergency Medical Transport (VAN)	$0	$998.8K
Another Day Homecare Inc	KS	Home Health Agency	$0	$760.4K

Helpers, LLC — Billing Profile & Reimbursement Data

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Helpers, LLC — 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

Nearby Providers

Frequently Asked Questions

References