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 Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming 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. Wyoming (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.

Quality Home Health Care Inc (NPI 1386740496)

Field	Value
Entity Type	Organization
Organization	Quality Home Health Care Inc
Address	410 E Grand Ave Ste 313
City	Laramie
State	WY
ZIP	82070
Taxonomy	Home Health Agency
NPI Enumerated	September 15, 2006

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file while Medicaid revenue totals $2.6M, indicating the operation is reliant on state Medicaid reimbursement as its primary public payer. Analysts should treat Medicaid performance as the central determinant of the provider's financial footprint rather than Medicare trends.

Revenue is highly concentrated in a small set of home-care service codes: the precomputed top three Medicaid codes (T1004, T1019, S9123) account for 78.5% of the provider's total Medicaid revenue. The single largest line is T1004 at $1.1M (41.5%), followed by T1019 at $518K (20.0%) and S9123 at $438.2K (17.0%), underscoring heavy dependence on a narrow set of service lines.

The code mix indicates a hands-on, labor-intensive home health operation focused on aide and personal-care services. High volumes in T1004 (services of a qualified nursing aide) and T1019 (personal care services) together with meaningful revenue from S9123 (nursing care by registered nurse) point to a business model centered on frequent in-home personal assistance and nursing visits rather than episodic procedural care.

Competitive standing is mixed but leans toward above-average presence for specific services: T1019 ranks #3 of 24 providers in-state (91th percentile) and S9123 ranks #3 of 20 (89th percentile), suggesting a relatively strong market position for personal-care and in-home RN nursing services. By contrast, T1004 is ranked #5 of 23 (82th percentile) and is described as "typical, unremarkable volume for this code," indicating that while the provider is visible in aide services, it is not dominant.

Operationally, the provider bills very high volumes of short-interval units: T1004 reports 19.1K claims at $56 average paid per claim and T1019 reports 12.6K claims at $41 average paid per claim, while S9123 shows 6.6K claims at $66 average paid per claim. This pattern is consistent with a high-frequency, time-based care model (many 15-minute or hourly units) that emphasizes staffing-intensive service delivery and scheduling capacity.

There is a notable nuance in nursing-level activity: S9123 (RN nursing care, per hour) is a material revenue driver and ranks highly statewide, but time-based RN/LPN codes billed as 15-minute units (T1002, T1003) are small contributors — each at 295 claims and together under 2% of Medicaid revenue. This suggests the provider emphasizes hourly RN visits for general nursing care while recording limited use of the shorter 15-minute RN/LPN billing increments.

Beyond the top three, supportive aide codes like G0156 ($332.6K, 12.9% of Medicaid revenue) and attendant care S5125 ($182.3K, 7.1%) further reinforce a service mix concentrated on non-institutional personal support and aide services. These second-tier lines complement the main revenue drivers and reflect a broad suite of in-home assistance offerings typical of a home health agency.

The provider has an established tenure in the market, with its NPI enumerated on 2006-09-15 (~20 years ago), indicating operational longevity that may support stable payer relationships and local referral channels. However, the combination of heavy reliance on Medicaid ($2.6M) and concentrated code-level revenue exposes the business to Medicaid rate changes or state policy shifts affecting the small set of high-impact codes.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1004	Services of a qualified nursing aide, up to 15 minutes	19,140	$60	$1.1M
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…	12,630	$40	$518K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	6,640	$70	$438.2K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	8,990	$40	$332.6K
S5125	Attendant care services; per 15 minutes	3,880	$50	$182.3K
T1002	Rn services, up to 15 minutes	300	$80	$23.3K
T1003	Lpn/lvn services, up to 15 minutes	300	$60	$18.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Quality Home Health Care Inc — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1004	Services of a qualified nursing aide, up to 15 minutes	5	20	5,720	$70	$677.7K
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…	3	20	860	$90	$370.1K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	5	20	2,280	$80	$337.2K
T1002	Rn services, up to 15 minutes	13	20	670	$120	$283.5K
S5125	Attendant care services; per 15 minutes	4	10	3,500	$60	$268K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	3	20	1,510	$100	$251.6K
T1003	Lpn/lvn services, up to 15 minutes	3	10	370	$70	$28.8K

Nearby Providers

Other providers in the same ZIP code as Quality Home Health Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care United Medical Center Of Laramie, LLC	WY	Multi-Specialty Clinic/Center	$0	$3.2M
Gem City Bone & Joint PC	WY	Ambulatory Surgical Clinic/Center	$1.3M	$0
Elite Medical Supplies, LLC	WY	Durable Medical Equipment & Medical Supplies	$0	$1.3M
James A Boucher & Sue E Lowe Ptr	WY	Optometrist	$0	$444.4K
Martha Nesslinger	WY	Counselor	$0	$415.2K
Step-by-step Family Therapy A Professional Corporation	WY	Multi-Specialty Clinic/Center	$0	$333.8K
John Horberg	WY	Orthopaedic Trauma Physician	$301.5K	$270
Grand Avenue Urgent Care, LLC	WY	Urgent Care Clinic/Center	$0	$264.3K
Eric Harris	WY	Orthopaedic Surgery of the Spine Physician	$207.3K	$0
Samuel Ecker	WY	Dermatology Physician	$206.2K	$0

Quality Home Health Care Inc — Billing Profile & Reimbursement Data

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Quality Home Health Care 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