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

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

Minnesota Quality Care, Inc. (NPI 1346444957)

Field	Value
Entity Type	Organization
Organization	Minnesota Quality Care, Inc.
Address	1421 Park Ave
City	Minneapolis
State	MN
ZIP	55404
Taxonomy	Home Health Agency
NPI Enumerated	June 14, 2007

Payer Source	Total Paid
Medicaid	$48.4M
Medicare	$0

Key Findings

MINNESOTA QUALITY CARE, INC. is registered as a Home Health Agency and was enumerated on 2007-06-14 (~19 years ago), indicating a long-tenured provider presence in the Minneapolis market. Its taxonomy and longevity are consistent with an established home- and community-based services operation rather than a recently formed entrant.

This provider has no Medicare billing on file and reports $48.4M in lifetime Medicaid revenue, making its financial footprint effectively single-payer with Medicaid as the dominant source of reimbursed activity. The absence of Medicare claims on the record means all utilization- and competitive analyses should be interpreted in a Medicaid-only context for this entity.

Revenue concentration on Medicaid is extreme: the precomputed top three Medicaid codes account for 100.0% of the provider’s total Medicaid revenue. In particular, T1019 alone contributes $43.8M (90.5% of the provider’s Medicaid revenue), signaling heavy reliance on a single service line for the vast majority of income.

The operational profile is dominated by personal care and homemaker services: T1019 (Personal care services, per 15 minutes) and S5130 (Homemaker service, per 15 minutes) together represent the practical service mix, with H2015 (Comprehensive community support services) as a smaller, higher-paid adjunct. The code descriptions indicate the organization primarily delivers non‑skilled personal care and homemaking rather than skilled home health nursing or therapy.

Scale and claim volume underline the provider’s operational footprint: T1019 is associated with 717.6K claims at a $61 avg paid/claim generating $43.8M, while S5130 shows 83.4K claims at $43 avg paid/claim for $3.6M, and H2015 accounts for 8.5K claims at $118 avg paid/claim for $999K. These claim volumes point to a high-throughput personal-care model where large claim counts for low-unit-dollar services drive revenue.

Competitive standing in-state is strong for the primary personal-care code: T1019 ranks #8 of 225 providers in-state (97th percentile; notably above typical state volume for this code), positioning the provider as a major in-state performer for that service. S5130 ranks #11 of 236 (96th percentile; typical, unremarkable volume) and H2015 ranks #29 of 139 (80th percentile; typical, unremarkable volume), indicating above-average presence for homemaker services and a more modest but meaningful presence in comprehensive community support.

The payer/service mix and pricing profile suggest differing margins by code: large volume, lower-paid unit service T1019 drives the bulk of revenue through scale, S5130 contributes materially through additional volume, and H2015, while much smaller in revenue share, posts a higher avg paid/claim ($118) that could reflect greater intensity per unit. Management and contracting strategies that rely heavily on T1019 volumes may be sensitive to changes in Medicaid policy or reimbursement for that specific code.

Given the extreme revenue concentration (100.0% of Medicaid revenue from the top three codes and 90.5% from a single code), the provider faces revenue risk if state reimbursement definitions or utilization patterns for T1019 change; however, its high in-state rank for T1019 suggests it is well-positioned operationally to capture current demand for personal care services in Minnesota.

Medicaid: Complete Services Breakdown

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

3 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…	717,610	$60	$43.8M
S5130	Homemaker service, nos; per 15 minutes	83,380	$40	$3.6M
H2015	Comprehensive community support services, per 15 minutes	8,470	$120	$999K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Minnesota Quality Care, Inc. — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

3 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…	8	230	37,580	$70	$8.6M
S5130	Homemaker service, nos; per 15 minutes	11	240	7,130	$40	$1M
H2015	Comprehensive community support services, per 15 minutes	29	140	2,300	$110	$700.1K

Nearby Providers

Other providers in the same ZIP code as Minnesota Quality Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nu-way House Inc	MN	Substance Abuse Rehabilitation Facility	$0	$200.8M
Childrens Health Care	MN	Children's Hospital	$0	$100M
Midwest Home Health Care, Inc.	MN	Home Health Agency	$0	$73.5M
Midwest Quality Home Care, Inc.	MN	Home Health Agency	$0	$66.7M
Regents Of The University Of Minnesota	MN	Federally Qualified Health Center (FQHC)	$0	$55.2M
Minnesota Professional Health Services,inc	MN	Home Health Agency	$0	$51.9M
Park Ave Center Inc	MN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$50.8M
Direct Home Health Care, Inc.	MN	Home Health Agency	$0	$30.7M
Aaa A-z Friendly Languages Inc	MN	Interpreter	$0	$29.4M
Comfort Services LLC	MN	Home Health Agency	$0	$29.1M

Minnesota Quality Care, Inc. — Billing Profile & Reimbursement Data

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Minnesota Quality Care, 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

Nearby Providers

Frequently Asked Questions

References