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    OpenPayerNPI Medicare & MedicaidCon Mi Gente Inc.
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    Con Mi Gente Inc. — Billing Profile & Reimbursement Data

    NPI 1376629774 · Mission, TX · Personal Care Attendant

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    Con Mi Gente Inc. is a personal care attendant provider located in Mission, Texas. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCon Mi Gente Inc.
    Address2505 N. Stewart
    CityMission
    StateTX
    ZIP78574
    TaxonomyPersonal Care Attendant
    NPI EnumeratedOctober 27, 2006

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

    Payer SourceTotal Paid
    Medicaid$66.9M
    Medicare$0

    Key Findings

    CON MI GENTE INC. reports no Medicare billing on file and $66.9M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider rather than a dual-payer operation. The absence of Medicare activity means analyses of competitive standing and revenue mix should be framed entirely within the Medicaid market.

    Revenue is extremely concentrated across a narrow set of services: the precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with S5125 generating $63.6M (95.0% of Medicaid revenue), T1019 generating $2.4M (3.6%), and T1005 generating $900.4K (1.3%). This concentration indicates nearly all cash flow is driven by a single service line.

    The code mix and descriptions indicate CON MI GENTE INC. operates as a high-volume attendant/personal care agency: S5125 (Attendant care services; per 15 minutes) and T1019 (Personal care services, per 15 minutes) together reflect time-based, in-home attendant and personal care delivery, while T1005 (Respite care services, up to 15 minutes) represents a smaller respite component. The dominance of 15-minute-unit codes suggests an operational model built around frequent, short-interval visits and large care teams.

    S5125 performance positions the provider as a statewide high-volume participant for attendant care: the provider billed 1.3M claims for S5125 with $50 avg paid/claim and ranks #20 of 1678 providers in-state (99th percentile; notably above typical state volume for this code). That rank and volume indicate market leadership in billing for attendant care services within Texas.

    By contrast, the provider's activity in T1019 and T1005 is consistent with a typical to modest participant: T1019 shows 78.1K claims, $31 avg paid/claim, $2.4M revenue and ranks #206 of 1050 in-state (80th percentile; typical, unremarkable volume), while T1005 shows 18.8K claims, $48 avg paid/claim, $900.4K revenue and ranks #142 of 564 in-state (75th percentile; typical, unremarkable volume). These ranks suggest they are not unusually large players for those supplemental personal care and respite codes.

    Tenure: the provider's NPI was enumerated on 2006-10-27 (~20 years ago), indicating a long-standing presence in the state Medicaid market, which likely supports the scale needed to generate 1.3M S5125 claims. Longevity combined with high S5125 volume suggests established operational infrastructure for attendant care.

    Operational implications of the S5125 volume include substantial claims-processing throughput and sustained payer interactions: 1.3M claims at $50 avg paid/claim yielding $63.6M in revenue imply routine handling of very large claim counts for 15-minute attendant units. This scale is consistent with labor-intensive service delivery and may drive sensitivities to reimbursement rates, workforce availability, and documentation workflows.

    The extreme revenue dependence on a single code creates concentration risk: with 95.0% of Medicaid revenue coming from S5125, changes to attendant care policy, reimbursement, or eligibility in Texas could materially affect CON MI GENTE INC.'s financial profile. Analysts should treat the provider as highly exposed to state-level shifts in attendant/personal care reimbursement rather than diversified across multiple service lines.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes1,271,920$50$63.6M
    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…78,060$30$2.4M
    T1005Respite care services, up to 15 minutes18,760$50$900.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes201,68050,290$60$9.5M
    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…2061,05023,280$30$1.8M
    T1005Respite care services, up to 15 minutes1425608,490$50$842.3K

    Nearby Providers

    Other providers in the same ZIP code as Con Mi Gente Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amanecer Primary Home Care, LLCTXPersonal Care Attendant$0$26.3M
    H & H Quality Construction LLCTXHome Modifications Contractor$0$15.5M
    Dulce Esperanza Home Health Care L.L.CTXHome Health Agency$0$13.7M
    Humble Care IncTXHome Health Agency$0$11.5M

    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. Texas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Con Mi Gente Inc. — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas