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    OpenPayerNPI Medicare & MedicaidSt. Matthew's Direct Care Service
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    St. Matthew's Direct Care Service — Billing Profile & Reimbursement Data

    NPI 1396901021 · Shreveport, LA · Home Health Agency

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    St. Matthew's Direct Care Service is a home health agency provider located in Shreveport, Louisiana. This profile covers 0 Medicare and 1 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
    OrganizationSt. Matthew's Direct Care Service
    Address2620 Centenary Blvd
    CityShreveport
    StateLA
    ZIP71104
    TaxonomyHome Health Agency
    NPI EnumeratedAugust 1, 2008

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

    Payer SourceTotal Paid
    Medicaid$26.9M
    Medicare$0

    Key Findings

    This provider reports none (no Medicare billing on file) in lifetime Medicare revenue while recording $26.9M in lifetime Medicaid revenue, indicating all documented federal billing activity is through Medicaid. The absence of Medicare billing suggests the entity does not participate in or does not bill Medicare programs in a measurable way in the available dataset.

    The single dominant Medicaid procedure is S5125 (Attendant care services; per 15 minutes), which is reported with 198K claims and a $136 avg paid/claim. That single code is listed with $26.9M revenue and explicitly accounts for 100.0% of this provider's total Medicaid revenue, pointing to an operation heavily centered on attendant care services.

    Taxonomy and code mix align: the provider is registered as a Home Health Agency and its Medicaid revenue is driven entirely by S5125 attendant care services, which is consistent with a business model focused on in-home personal/attendant support rather than medically supervised skilled nursing or Medicare-driven home health services. This concentration in attendant care suggests day-to-day operations, staffing, and billing workflows are optimized for high-volume per-15-minute service delivery.

    Revenue concentration is extreme: the precomputed top-3 share is 100.0%, and the listed S5125 line alone represents the full $26.9M Medicaid revenue for this provider. Such single-code dependency indicates limited revenue diversification and makes the provider financially sensitive to reimbursement rate changes or authorization rules affecting S5125.

    Competitive standing within the state is strong for this specific service: S5125 revenue places the provider at rank #9 of 486 in-state and in the 98th percentile, described in the source as notably above typical state volume for this code. This rank signals the provider is a major in-state participant for attendant care billing, able to generate materially higher claim volume than most peers.

    Operational scale is evidenced by the absolute claims and payment metrics: 198K claims at a $136 avg paid/claim reflect sustained high-volume billing activity for a single code. Those figures imply substantial staffing and administrative capacity to deliver and document attendant care at scale, and they explain how attendant care alone produces the full $26.9M Medicaid revenue.

    The provider has a long tenure in the NPI registry, being enumerated on 2008-08-01 (~18 years ago), which supports the view of an established in-state business with prolonged engagement in Medicaid attendant care lines. Longevity combined with high-volume S5125 billing suggests operational continuity rather than a recent ramp-up.

    Because Medicaid is effectively the sole payer relationship on file and S5125 comprises 100.0% of Medicaid revenue, the provider faces both risk and opportunity: risk from policy or rate shifts affecting attendant care reimbursement, and opportunity to diversify into additional service lines or payers (including Medicare) to reduce single-code dependence. Any payer- or policy-level changes to S5125 would likely have outsized financial impact given the current concentration.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes197,970$140$26.9M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes949035,970$140$7.3M

    Nearby Providers

    Other providers in the same ZIP code as St. Matthew's Direct Care Service, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Council On Alcoholism And Drug Abuse Of Northwest LouisianaLASubstance Abuse Rehabilitation Facility$0$24.9M
    Behavioral Specialists Of LaLAClinical Psychologist$0$18.7M
    Superior Counseling Services, LLCLAMental Health Clinic/Center (Including Community Mental Health Center)$0$9.2M
    St. Matthew's Direct Care ServiceLAHome Health Agency$0$9.1M
    Choices Coordinated Care Solutions, Inc.LACase Management Agency$0$8.2M
    Riley Physical Therapy, IncLAPhysical Therapist$0$8.1M
    Quality Support Coordination IncLACase Management Agency$0$7.3M
    Community Health Care Solutions, LLC.LACommunity/Behavioral Health Agency$0$6.8M
    In Home Respiratory, LLCLADurable Medical Equipment & Medical Supplies$0$6.7M
    Wk Tots To Teens Pediatric CenterLAPediatrics Physician$0$4.7M

    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. Louisiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    St. Matthew's Direct Care Service — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana