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.

Ambercare Home Health Care Corporation (NPI 1336117621)

Field	Value
Entity Type	Organization
Organization	Ambercare Home Health Care Corporation
Address	420 N Main St
City	Belen
State	NM
ZIP	87002
Taxonomy	Home Health Agency
NPI Enumerated	March 10, 2006

Payer Source	Total Paid
Medicaid	$518M
Medicare	$0

Key Findings

This provider is effectively single‑payer in our dataset: Total Medicaid revenue is $518M and there is no Medicare billing on file. The absence of Medicare activity means the organization’s revenue exposure and clinical footprint, as represented here, are almost entirely driven by Medicaid program rules and rates rather than Medicare post‑acute home‑health paradigms.

Revenue is extremely concentrated in three Medicaid codes: 99509 ($248.3M, 47.9% of Medicaid revenue), T1019 ($234.8M, 45.3%), and G9006 ($27.1M, 5.2%); together these top three codes account for 98.5% of the provider’s Medicaid revenue. This concentration indicates the business is highly dependent on a narrow set of service lines and reimbursement policies tied to those codes.

The dominant codes describe a care model centered on non‑skilled personal care and ADL support (99509 and T1019) plus a coordinated care/home monitoring fee (G9006). That mix suggests the operation is organized around high‑volume personal care visits and remote monitoring/coordination rather than primarily episodic, skilled Medicare home‑health services.

Competitive standing within the state is unusually strong for the top line codes: AMBERCARE ranks #1 in‑state for 99509, T1019, and G9006 and is described as a 100th percentile “extreme outlier” for each, indicating volumes far above typical state peers. This statewide dominance should give the organization negotiating leverage with state Medicaid plans but also highlights its outsized role in those specific service categories.

There is a measurable, smaller skilled‑services component in the billing mix: G0299 (26K claims, $2.1M, 0.4% of revenue) ranks #2 in‑state at the 98th percentile and G0151 (17.6K claims, $1.4M, 0.3%) ranks #3 at the 97th percentile. These entries show the provider does deliver some skilled nursing and therapy services, but they represent a minor share of revenue compared with personal care and coordinated care fees.

Operational scale is evident from claim volumes: T1019 accounts for 2.9M claims and 99509 for 701.5K claims, indicating a large field workforce and high visit throughput. Such volume levels imply significant back‑office scheduling, workforce management, and billing operations that would be material considerations for any payer partnership or audit of capacity.

The provider’s NPI was enumerated 2006-03-10 (~20 years ago), signaling long tenure in the market. Combined with the provider’s statewide rank leadership on key codes, this longevity suggests an established operational footprint and deep familiarity with New Mexico Medicaid processes.

Because nearly all Medicaid revenue is concentrated in a few codes tied to personal care and home monitoring, the organization faces concentrated reimbursement risk: changes to coverage, rate setting, or prior‑authorization for 99509, T1019, or G9006 could materially affect revenue. At the same time, the provider’s extreme outlier status in state rankings means it is a major counterparty for Medicaid programs when discussing policy or rate changes affecting these services.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	701,470	$350	$248.3M
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…	2,935,500	$80	$234.8M
G9006	Coordinated care fee, home monitoring	146,220	$190	$27.1M
S5110	Home care training, family; per 15 minutes	14,380	$220	$3.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	26,020	$80	$2.1M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	17,580	$80	$1.4M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	5,320	$90	$457.2K
S5125	Attendant care services; per 15 minutes	3,660	$80	$307.6K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	2,200	$80	$178.3K
T2038	Community transition, waiver; per service	70	$1,370	$98.4K

Showing 1–10 of 21

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

Ambercare Home Health Care Corporation — 9 of 21 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

21 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.	1	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…	1	90	92,900	$70	$13.3M
S5125	Attendant care services; per 15 minutes	37	50	10,600	$100	$4.3M
G9006	Coordinated care fee, home monitoring	1	80	3,840	$190	$2M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	25	50	2,930	$150	$1.4M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	3	60	2,860	$120	$642K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	12	50	1,370	$130	$633K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	2	40	1,400	$90	$345.7K
S5110	Home care training, family; per 15 minutes	1	40	340	$200	$202.4K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	7	10	1,000	$90	$175.8K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ambercare Home Health Care Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ambercare Hospice, Inc.	NM	Community Based Hospice Care Agency	$0	$28.7M
Ambercare Home Health Care Corporation	NM	Home Health Agency	$0	$1.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recovery Services Of New Mexico, LLC	NM	Methadone Clinic	$94.6K	$10.5M
Heart & Soul Of Nm, Inc	NM	Community/Behavioral Health Agency	$0	$7.2M
David L Wright	NM	Mental Health Counselor	$0	$2.5M
Herron Solutions LLC	NM	Community/Behavioral Health Agency	$0	$2.4M
Roland Kent Sanchez, Md	NM	Family Medicine Physician	$0	$1.6M
Adolfo Sanchez	NM	Family Medicine Physician	$95.1K	$0
Cassandra Otero	NM	Medical Physician Assistant	$32.7K	$53.3K
Michael Gurule	NM	Cardiovascular Disease Physician	$71.2K	$0
Angela Napier	NM	Nurse Practitioner	$40.7K	$0
Jon Otero	NM	Physical Therapist	$21.7K	$0

Ambercare Home Health Care Corporation — Billing Profile & Reimbursement Data

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Ambercare Home Health Care Corporation — 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