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    OpenPayerNPI Medicare & MedicaidLoving Care And More, Inc.
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    Loving Care And More, Inc. — Billing Profile & Reimbursement Data

    NPI 1356498521 · Silverton, ID · Home Health Agency

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    Loving Care And More, Inc. is a home health agency provider located in Silverton, Idaho. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeOrganization
    OrganizationLoving Care And More, Inc.
    Address104 Windriver Rd
    CitySilverton
    StateID
    ZIP83867
    TaxonomyHome Health Agency
    NPI EnumeratedJanuary 3, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.2M
    Medicare$0

    Key Findings

    LOVING CARE AND MORE, INC. is effectively a Medicaid-focused home health agency: there is no Medicare billing on file while its total Medicaid revenue is $8.2M, indicating the organization operates primarily within the Medicaid market rather than serving Medicare fee-for-service patients. The provider’s NPI was enumerated on 2007-01-03 (~19 years ago), signaling long-tenured operation in the state that aligns with sustained Medicaid activity. The provider’s revenue is highly concentrated in a narrow set of personal care and homemaker service codes — the top three Medicaid codes (T1019, S5130, S5125) together account for 97.5% of total Medicaid revenue — which suggests the business model focuses on hands-on personal care, attendant care, and homemaker services rather than a broader mix of clinical home health or medical services. T1019 (personal care services, per 15 minutes) is by far the dominant revenue driver at $5.9M and represents 72.5% of this provider’s Medicaid revenue; the file also notes this volume ranks #5 of 101 providers in-state and is described as notably above typical state volume, indicating the agency is a leading provider of this service within Idaho. S5130 (homemaker service, per 15 minutes) contributes $1.5M (18.7% of Medicaid revenue) and ranks #3 of 77 providers in-state with a characterization of notably above typical state volume, reinforcing that homemaker services are a core, high-volume line for the business and a competitive strength locally. S5125 (attendant care services, per 15 minutes) accounts for $517.8K (6.3% of Medicaid revenue) and ranks #16 of 44 providers in-state (65th percentile), a more typical volume for that code which suggests attendant care is a meaningful but not market-dominant part of the mix. Smaller revenue lines such as A0080 (non-emergency transportation, $110.8K) and behavioral health psychotherapy codes (90834, 90837) appear as marginal revenue contributors (each under 1% of Medicaid revenue) and rank variably in-state, implying the provider supplements core personal care with ancillary transportation and some behavioral health services but does not specialize in them. Taken together, the pattern indicates a concentrated operational focus on Medicaid-covered personal and homemaker care with two top codes (T1019 and S5130) making up the vast majority of Medicaid billing and positioning the agency as a strong local competitor for those service types while maintaining lower-profile activity across other supportive services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…99,140$60$5.9M
    S5130Homemaker service, nos; per 15 minutes90,050$20$1.5M
    S5125Attendant care services; per 15 minutes8,630$60$517.8K
    A0080Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest12,310$10$110.8K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…630$60$38.5K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes600$50$27.4K
    S5161Emergency response system; service fee, per month (excludes installation and testing)630$30$20K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…70$100$6.8K
    T1001Nursing assessment / evaluation110$50$5.2K
    Q5001Hospice or home health care provided in patient's home/residence10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Idaho median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes16405,180$110$2.3M
    T1019Personal 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…510011,400$80$2M
    S5130Homemaker service, nos; per 15 minutes38012,220$20$537.5K
    S5161Emergency response system; service fee, per month (excludes installation and testing)510620$30$248K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…220410740$60$174.3K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes510620$40$169.5K
    T1001Nursing assessment / evaluation3050260$60$77K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…180260200$90$47.8K
    A0080Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest2201,290$10$26.6K
    Q5001Hospice or home health care provided in patient's home/residence2530150$50$19.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Idaho Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Loving Care And More, Inc. — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho