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.

Chartwell Community Services, Inc. (NPI 1366580706)

Field	Value
Entity Type	Organization
Organization	Chartwell Community Services, Inc.
Address	421 Fielder North Plz
City	Arlington
State	TX
ZIP	76012
Taxonomy	Home Health Agency
NPI Enumerated	February 1, 2007

Payer Source	Total Paid
Medicaid	$255M
Medicare	$0

Key Findings

CHARTWELL COMMUNITY SERVICES, INC. is a Home Health Agency based in ARLINGTON, TX with an NPI enumerated on 2007-02-01 (~19 years ago), indicating a long-tenured presence in the market. The provider’s taxonomy and tenure are consistent with an established home- and community-based service operator rather than a recent entrant.

This provider is effectively single-payer in scale: there is no Medicare billing on file while Medicaid lifetime revenue is $255M. Analysts should treat Medicaid as the dominant and operationally material payer when profiling this entity.

Revenue is highly concentrated: the top three Medicaid codes account for 98.3% of the provider’s total Medicaid revenue, and one code in particular—S5125—alone represents $238.3M or 93.4% of Medicaid revenue. This extreme concentration means financial performance and utilization trends will be driven almost entirely by a very small set of service lines.

The reported code mix—S5125 (attendant care services; per 15 minutes), T2017 (habilitation, residential, waiver; 15 minutes), and T1005 (respite care services, up to 15 minutes)—points to a labor-intensive, time-unit model focused on attendant/personal care and waiver-based habilitation and respite. Claim counts reinforce that operational picture: S5125 shows 4.2M claims, T1005 has 127.3K claims, and T2017 has 82.5K claims, consistent with high-frequency, short-interval service delivery rather than episodic clinical procedures.

Competitive standing is mixed but pronounced for attendant care: S5125 ranks #4 of 1678 providers in-state (100th percentile; extreme outlier), and T1005 ranks #6 of 564 (99th percentile; extreme outlier), marking CHARTWELL as a dominant statewide provider for those time-based personal/respite service lines. By contrast, T2017 ranks #7 of 55 (89th percentile; typical, unremarkable volume for that code) and T1019 ranks #164 of 1050 (84th percentile; typical), indicating the provider’s dominance is concentrated in a couple of specific codes rather than across all waiver or personal-care categories.

Average paid amounts per claim are moderate and reflect time-based reimbursement: S5125 $57 avg paid/claim, T2017 $76 avg paid/claim, T1005 $49 avg paid/claim, and T1019 $42 avg paid/claim. Given the enormous claim volumes—especially 4.2M S5125 claims—financial exposure and margin are highly sensitive to per-claim unit rates, utilization management rules, and any changes to authorization or plan-of-care policy.

For payers and analysts, the provider’s profile suggests key oversight and contracting priorities: monitor utilization patterns and authorization practices for S5125 and T1005, assess workforce capacity and documentation practices tied to high-frequency time-based claims, and evaluate network adequacy given the provider’s outsized share in attendant care. Concentration risk also implies that payment policy changes or program audits affecting these codes could materially shift the provider’s revenue picture.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	4,180,270	$60	$238.3M
T2017	Habilitation, residential, waiver; 15 minutes	82,530	$80	$6.3M
T1005	Respite care services, up to 15 minutes	127,290	$50	$6.2M
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…	101,320	$40	$4.3M

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

Chartwell Community Services, Inc. — 2 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	4	1,680	50,290	$60	$9.5M
T2017	Habilitation, residential, waiver; 15 minutes	7	60	19,340	$80	$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…	164	1,050	23,280	$30	$1.8M
T1005	Respite care services, up to 15 minutes	6	560	8,490	$50	$842.3K

Nearby Providers

Other providers in the same ZIP code as Chartwell Community Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chartwell Community Services, Inc	TX	Home Health Agency	$0	$20.3M
Wayne Solley	TX	Ophthalmology Physician	$4M	$0
Patrick Williams	TX	Ophthalmology Physician	$2.8M	$0
Nikisha Kothari	TX	Ophthalmology Physician	$2.4M	$0
Arlington Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$1.3M	$0
Paragon Laser & Eye Surgery Center	TX	Ophthalmologic Surgery Clinic/Center	$1.1M	$0
Mandar Joshi	TX	Diagnostic Radiology Physician	$740.2K	$0
Cross Timbers Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$617.5K	$0
Stephanie Whitwell	TX	Acute Care Nurse Practitioner	$551.4K	$0
Health Imaging Partners, LLC	TX	Physiological Laboratory	$522.7K	$8.6K

Chartwell Community Services, Inc. — Billing Profile & Reimbursement Data

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Chartwell Community Services, 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