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    OpenPayerNPI Medicare & MedicaidBcbu, Inc.
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    Bcbu, Inc. — Billing Profile & Reimbursement Data

    NPI 1386642965 · Woods Cross, UT · Home Health Agency

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    Bcbu, Inc. is a home health agency provider located in Woods Cross, Utah. This profile covers 0 Medicare and 14 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
    OrganizationBcbu, Inc.
    Address576 W 900 S Ste 105
    CityWoods Cross
    StateUT
    ZIP84010
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 8, 2005

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

    Payer SourceTotal Paid
    Medicaid$10.2M
    Medicare$0

    Key Findings

    BCBU, INC. is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $10.2M in lifetime Medicaid revenue. Its NPI was enumerated on 2005-07-08 (~21 years ago), indicating a long-tenured presence in the market.

    Revenue is highly concentrated in a small set of Medicaid service codes: the precomputed top three Medicaid codes account for 79.8% of the provider's Medicaid revenue. The largest single line is T1021 (18.1K claims, $270 avg paid/claim, $4.9M revenue, 47.9% of total Medicaid revenue), making home health aide/CNA visits the dominant revenue driver.

    The code mix signals a home health agency model focused on frequent aide visits plus short-interval skilled nursing: T1021 (home health aide/CNA), T1002 (RN services, up to 15 minutes; 6.5K claims, $279 avg paid/claim, $1.8M revenue, 17.8%) and T1003 (LPN/LVN services, up to 15 minutes; 4.2K claims, $342 avg paid/claim, $1.4M revenue, 14.2%) together form the bulk of billed clinical care. T1019 (personal care, 6.1K claims, $186 avg paid/claim, $1.1M revenue) further emphasizes non-institutional, in-home personal care services.

    Competitive standing varies by code: for T1003 the provider ranks #1 of 6 in-state and is described as notably above typical state volume, indicating a dominant position in billed LPN/LVN per-15-minute services. By contrast, for T1021 the provider ranks #15 of 41 (65th percentile) and for T1002 ranks #6 of 15 (64th percentile), both characterized as typical or unremarkable volumes relative to peers.

    Operationally this profile implies high utilization intensity in visit-based care: 18.1K claims for T1021 alongside 6.5K T1002 claims and 4.2K T1003 claims show the organization delivers large numbers of aide visits plus substantial short-interval skilled nursing. Those claim counts, paired with the stated average payments ($270 for T1021, $279 for T1002, $342 for T1003), suggest margin and staffing pressures will be influenced by mix of aides versus licensed nurses.

    Several billed codes appear to generate claims but report $0 avg paid/claim and $0 revenue in the dataset, including Q5001 (1.1K claims), G0156 (2K claims), G0151 (3.9K claims), G0152 (1.3K claims), G0157 (261 claims) and G0300 (13 claims). These items are present in the claim stream but do not contribute measurable Medicaid revenue in the available data, which may reflect state payment policies, bundling, or reporting practices rather than active revenue lines.

    Beyond the top three, S9131 (physical therapy in the home; 2.6K claims, $69 avg paid/claim, $177.3K revenue) and T1019 (personal care; $1.1M revenue) represent the secondary service mix; together they show the provider also offers therapy and non-skilled personal care though at much lower revenue scale than aide and nursing services. This supports a service-line footprint centered on in-home support with adjunct therapy options.

    Because nearly half the Medicaid revenue is driven by a single code (T1021 at $4.9M, 47.9%), and the top three codes together are 79.8% of Medicaid revenue, the provider’s financial performance is highly sensitive to reimbursement changes, utilization limits, or authorization shifts affecting those specific home health aide and short-interval nursing codes. Strategic or regulatory changes that affect T1021, T1002, or T1003 would likely have outsized impact on overall revenue.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1021Home health aide or certified nurse assistant, per visit18,110$270$4.9M
    T1002Rn services, up to 15 minutes6,510$280$1.8M
    T1003Lpn/lvn services, up to 15 minutes4,230$340$1.4M
    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…6,130$190$1.1M
    T1001Nursing assessment / evaluation1,560$440$687.3K
    S9131Physical therapy; in the home, per diem2,570$70$177.3K
    T1030Nursing care, in the home, by registered nurse, per diem440$110$48.8K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes5,890$1$5.9K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes3,930$0$0
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes1,290$0$0

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1021Home health aide or certified nurse assistant, per visit154010,290$60$1.7M
    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…15306,130$110$1.1M
    T1030Nursing care, in the home, by registered nurse, per diem1010960$320$857.8K
    T1003Lpn/lvn services, up to 15 minutes110720$530$812.7K
    T1002Rn services, up to 15 minutes6201,900$90$731.7K
    T1001Nursing assessment / evaluation2670700$80$603.4K
    S9131Physical therapy; in the home, per diem7201,510$80$403.1K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes15502,960$20$130.6K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes710240$1$2.3K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes530680$1$1.8K

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vali Division Of Wasatch, IncUTCommunity Based Hospice Care Agency$0$8.4M
    Hospital Corporation Of UtahUTGeneral Acute Care Hospital$0$6M
    South Davis Metro Fire Service AreaUTLand Ambulance$317.9K$3.3M
    Ryan K Anderson D P M P CUTFoot & Ankle Surgery Podiatrist$0$3.5M
    Rocky Mountain Personal Care LLCUTIn Home Supportive Care Agency$0$3M
    Providential Bba Operating LPUTHome Health Agency$0$1.7M
    Tautai Barton Creek, LLCUTAssisted Living Facility$0$1.5M
    Mg Bountiful Subtenant LLCUTAssisted Living Facility$0$1.3M
    Neurobehavioral Center For Growth LLCUTPsychologist$0$1.2M
    Mountain West Surgery Center, LLCUTAmbulatory Surgical Clinic/Center$950.5K$23.8K

    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. Utah Providers
    4 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Bcbu, Inc. — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah