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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Independent Living Resource Center (NPI 1427440650)

Field	Value
Entity Type	Organization
Organization	Independent Living Resource Center
Address	1720 Louisiana Blvd., Ne
City	Albuquerque
State	NM
ZIP	87110
Taxonomy	Personal Care Attendant
NPI Enumerated	February 25, 2015

Payer Source	Total Paid
Medicaid	$57.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the dataset: there is no Medicare billing on file and all recorded federal billing is Medicaid, with total Medicaid revenue of $57.7M. The absence of Medicare activity indicates the provider’s operations and revenue streams are concentrated in Medicaid programs rather than split across payers.

Revenue is highly concentrated in a very small set of services: the top 3 Medicaid codes together account for 100.0% of this provider’s total Medicaid revenue. The three codes are 99509 ($45.9M, 79.6% of Medicaid revenue), G9006 ($6.5M, 11.3%), and T1019 ($5.3M, 9.1%), showing near‑total dependence on those service lines.

The code mix and descriptions indicate a home‑ and community‑based personal care model: 99509 (home health visits for ADLs), T1019 (personal care services per 15 minutes), and G9006 (coordinated care fee, home monitoring) together reflect in‑home assistance and care coordination rather than institutional or medical specialty services. High claim counts (e.g., 132.4K claims for 99509 and 77.7K claims for T1019) and midrange average paid/claim values ($347 for 99509, $68 for T1019, $154 for G9006) are consistent with frequent, recurring personal care and monitoring interactions.

99509 is the business’s dominant revenue driver: it generated $45.9M (79.6% of Medicaid revenue) from 132.4K claims at $347 avg paid/claim and ranks #8 of 82 providers in‑state (91th percentile; typical, unremarkable volume for this code). This means the organization relies heavily on ADL/home‑visit billing for revenue, but its state rank is characterized as a typical, unremarkable volume rather than an extreme outlier.

G9006 (coordinated care fee, home monitoring) is a notable competitive strength: 42.4K claims produced $6.5M (11.3% of Medicaid revenue) at $154 avg paid/claim, and the provider ranks #3 of 79 in‑state (97th percentile; notably above typical state volume for this code). The high percentile for G9006 suggests the provider is among the state leaders in offering structured home monitoring/coordinated care fees, which could differentiate it operationally from peers.

T1019 contributes a meaningful but secondary share: 77.7K claims yielded $5.3M (9.1% of Medicaid revenue) at $68 avg paid/claim and the provider ranks #52 of 89 in‑state (42th percentile; typical, unremarkable volume for this code). The lower relative rank on T1019 indicates the provider is not a statewide leader in per‑15‑minute personal care billing, even though the code is part of its service mix.

The provider has an established presence in federal enrollment: the NPI was enumerated on 2015-02-25 (~11 years ago), indicating multi‑year participation in Medicaid billing and an operational track record that spans roughly a decade. This tenure supports the interpretation that current coding patterns reflect stable service lines rather than a very recent shift in business model.

Because nearly all revenue comes from a concentrated set of Medicaid service codes and there is no Medicare revenue, the provider’s financial performance and competitive position are highly sensitive to Medicaid payment policy and utilization changes for 99509, G9006, and T1019. Any state policy, reimbursement, or utilization management changes affecting these specific codes would likely have an outsized impact on the provider given that the top three codes represent 100.0% of its Medicaid revenue.

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 Code	Description	Claims	Avg Paid	Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	132,390	$350	$45.9M
G9006	Coordinated care fee, home monitoring	42,370	$150	$6.5M
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…	77,690	$70	$5.3M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Independent Living Resource Center — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	8	80	20,990	$310	$16.4M
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…	52	90	92,900	$70	$13.3M
G9006	Coordinated care fee, home monitoring	3	80	3,840	$190	$2M

Nearby Providers

Other providers in the same ZIP code as Independent Living Resource Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1st Care Of New Mexico LLC	NM	In Home Supportive Care Agency	$0	$86.5M
Community Options, Inc	NM	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$76.7M
Abarim Home Health Care Inc.	NM	Community Based Hospice Care Agency	$0	$66M
New Mexico Department Of Health	NM	Customized Equipment (DME)	$0	$60.4M
Ability First, LLC	NM	Exclusive Provider Organization	$0	$49M
Alta Mira Specialized Family Services, Inc.	NM	Community/Behavioral Health Agency	$0	$46.2M
Southwest Family Guidance Center LLC	NM	Adolescent and Children Mental Health Clinic/Center	$0	$32.7M
Aid Home Health Care Services LLC.	NM	Home Health Agency	$0	$32.4M
Active Solutions Incorporated	NM	Developmentally Disabled Services Day Training Agency	$0	$31.3M
Great Livin', LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$27.1M

Independent Living Resource Center — Billing Profile & Reimbursement Data

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Independent Living Resource Center — Billing Profile & Reimbursement Data

Sign up for Independent Living Resource Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References