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.

Agua Cristalina Home Care, LLC (NPI 1346579265)

Field	Value
Entity Type	Organization
Organization	Agua Cristalina Home Care, LLC
Address	109 E Jackson St
City	Harlingen
State	TX
ZIP	78550
Taxonomy	Home Health Agency
NPI Enumerated	December 24, 2009

Payer Source	Total Paid
Medicaid	$108.1M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all material reimbursement is Medicaid-based, with total Medicaid revenue of $108.1M reported. The absence of Medicare activity means analyses and risk assessments should focus on state Medicaid policy and waiver program exposure rather than Medicare fee schedules or Medicare-focused competitive dynamics.

Revenue is highly concentrated in a very small set of services: the top three Medicaid codes (S5125, T2026, G0100) account for 87.6% of the provider's Medicaid revenue. In particular, S5125 represents $51.9M (48.0% of Medicaid revenue) and T2026 represents $38.7M (35.8%), so changes to reimbursement or utilization of either code would materially affect overall revenue.

The code mix aligns with a home- and community-based care model: S5125 (attendant care services, per 15 minutes) and T2026 (specialized childcare, waiver; per diem) are the dominant services, indicating operations centered on attendant/personal support and waiver-based childcare programs. Secondary codes such as T1019, T1005, and therapy-oriented codes like 97124 and G0176 show the organization also delivers short-interval personal care, respite, and activity/therapy services as part of its service portfolio.

S5125 is a high-volume specialty for this provider: 943.9K claims generating $51.9M, and the provider ranks #46 of 1678 in-state in the 97th percentile for this code, a level described as notably above typical state volume. That standing suggests the provider is a major regional operator for attendant care by volume compared with most in-state peers.

T2026 is also a major source of revenue with 256.2K claims and $38.7M in payments, ranking #5 of 47 providers in-state and placing the provider in the 91st percentile for that code; given the small peer set for specialized childcare waiver services, this ranking indicates a prominent position within that niche. G0100 (62.7K claims, $4M) ranks #2 of 25 in-state (96th percentile), further supporting leadership on a limited set of Medicaid-specific service lines.

Several codes signal statistical outlier behavior: T1005 (respite care services, up to 15 minutes) shows 112.9K claims and $3.7M revenue and is flagged as an extreme outlier (rank #7 of 564, 99th percentile), indicating unusually high utilization of respite services relative to peers. These outlier labels point to specific program areas where utilization patterns diverge strongly from state norms and merit closer operational review.

Operational footprint appears high-volume and unit-driven: the large counts of short-duration codes (943.9K claims for S5125; 112.9K claims for T1005; 112.3K claims for T1019) are consistent with a labor-intensive delivery model billing in 15-minute increments or per diem waiver arrangements. This implies significant workforce management and scheduling scale is necessary to deliver the reported level of services.

The provider is established locally, with an NPI enumeration date of 2009-12-24 (~17 years ago), indicating sustained participation in Medicaid programs. Combined with its dominant ranks on several key codes and the heavy revenue concentration in S5125 and T2026, the provider likely has both operational experience in waiver/attendant services and exposure to program or rate changes that impact those concentrated service lines.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	943,920	$60	$51.9M
T2026	Specialized childcare, waiver; per diem	256,190	$150	$38.7M
G0100	N/A	62,750	$60	$4M
T1005	Respite care services, up to 15 minutes	112,910	$30	$3.7M
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…	112,320	$30	$3.5M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	27,940	$90	$2.5M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	14,740	$90	$1.3M
H2032	Activity therapy, per 15 minutes	8,380	$140	$1.1M
T2017	Habilitation, residential, waiver; 15 minutes	12,540	$60	$802.8K
G0648	N/A	51,660	$10	$465K

Showing 1–10 of 15

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

Agua Cristalina Home Care, LLC — 3 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2026	Specialized childcare, waiver; per diem	5	50	33,380	$180	$17.4M
S5125	Attendant care services; per 15 minutes	46	1,680	50,290	$60	$9.5M
T2017	Habilitation, residential, waiver; 15 minutes	36	60	19,340	$80	$3M
H2032	Activity therapy, per 15 minutes	15	50	3,520	$170	$2.6M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	5	40	3,120	$100	$2.3M
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…	151	1,050	23,280	$30	$1.8M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	4	30	2,990	$90	$1.2M
G0100	N/A	2	30	7,330	$70	$1.2M
T1005	Respite care services, up to 15 minutes	7	560	8,490	$50	$842.3K
G0648	N/A	4	30	9,580	$10	$756.3K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Agua Cristalina Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Primary Home Care, Inc	TX	Home Health Agency	$0	$161.5M
Texas Visiting Nurse Service, Ltd.	TX	Home Health Agency	$0	$138.2M
Apc Home Health Service, Inc.	TX	Home Health Agency	$0	$97.1M
Mizpah Residential Care. Inc.	TX	Home Health Agency	$0	$45.5M
Su Clinica Familiar	TX	Federally Qualified Health Center (FQHC)	$0	$37.6M
Vicki Roy Home Health Service, LP	TX	Home Health Agency	$0	$29.5M
Nuevo Destino Primary Home Care LLC	TX	Personal Care Attendant	$0	$26.6M
Santa Cruz Health Services, Inc	TX	Home Health Agency	$0	$23.8M
Vhs Harlingen Hospital Company LLC	TX	General Acute Care Hospital	$0	$23.6M
All Texas Health Care, Inc.	TX	Personal Care Attendant	$0	$17.7M

Agua Cristalina Home Care, LLC — Billing Profile & Reimbursement Data

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Agua Cristalina Home Care, 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