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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Premium Select Home Care Inc (NPI 1437289840)

Field	Value
Entity Type	Organization
Organization	Premium Select Home Care Inc
Address	5513 Illinois Ave Nw
City	Washington
State	DC
ZIP	20011
Taxonomy	Home Health Agency
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$63.9M
Medicare	$0

Key Findings

PREMIUM SELECT HOME CARE INC is effectively a Medicaid-only reporter at scale: it has no Medicare billing on file and shows $63.9M in lifetime Medicaid revenue, indicating the organization operates primarily within the Medicaid payer channel rather than as a dual Medicare/Medicaid provider. This limits comparative analysis to in-state Medicaid dynamics and suggests payer contracting and utilization management efforts should focus on Medicaid policies.

Revenue for this provider is extremely concentrated by service line: the precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with a single code, T1019, representing the overwhelming share at 97.4% of Medicaid revenue. That degree of concentration signals a business model built almost entirely around one reimbursed service type rather than a diversified set of home health or skilled professional services.

The code mix and descriptions indicate a primarily non-skilled personal care operation: T1019 (Personal care services, per 15 minutes) is the dominant line and, given its definition, implies the provider delivers extensive personal care and assistance with activities of daily living in patient residences rather than traditional skilled home health visits. Operationally, this suggests staffing and scheduling are likely optimized for frequent, short-duration personal care visits rather than episodic skilled nursing episodes.

Skilled nursing services are present but limited in scale relative to personal care: G0299 (Direct skilled nursing services of an RN, each 15 minutes) accounts for $1.7M and 2.6% of Medicaid revenue, indicating a small but non-negligible RN-delivered component. This split—very large personal care volume with modest RN presence—implies care oversight exists but that most billable encounters are unskilled personal care rather than sustained skilled nursing.

Competitive standing within the state is mixed: T1019 ranks #6 of 29 providers in-state (82th percentile) which places the provider above many peers on volume for that code, yet the supplied label characterizes the volume as "typical, unremarkable volume for this code." In practical terms, PREMIUM SELECT is a meaningful in-state participant for personal care services but not an extreme outlier or sole market dominator.

Other Medicaid billing lines are negligible in both revenue and competitive weight: S9123 produced $1.7K (0.0% of Medicaid revenue) and ranks #12 of 16 (27th percentile), while G0300 and Q5001 show claims but $0 paid/claim and $0 revenue. These data points reinforce that nearly all payable Medicaid activity is routed through T1019 and, to a very small extent, G0299, with other billable codes contributing effectively no revenue.

The provider has long tenure in the national registry—NPI enumerated 2007-03-06 (~19 years ago)—which supports continuity of operations and gives payers a lengthy claims history to evaluate. Given the long-standing Medicaid focus and extreme concentration in T1019, payers and contracting teams should prioritize rate negotiation, utilization monitoring, and quality oversight specifically around personal care services when engaging with this entity.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	493,870	$130	$62.2M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	20,010	$80	$1.7M
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)	70	$30	$1.7K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	150	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	20	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Premium Select Home Care Inc — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	6	30	405,140	$140	$47.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	10	30	13,380	$80	$1.3M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	10	10	610	$130	$1.2M
Q5001	Hospice or home health care provided in patient's home/residence	11	10	860	$20	$35.9K
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)	12	20	130	$20	$17.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Community Services, Inc.	DC	Home Health Agency	$0	$145.9M
National Children's Center, Inc.	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$101M
Capital Care, Inc	DC	Home Health Agency	$0	$83.4M
Aba Inc	DC	In Home Supportive Care Agency	$0	$80.8M
Ideal Nursing Services Inc	DC	Home Health Agency	$0	$58M
Total Care Services, Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$54.7M
Metro Homes Inc	DC	Developmental Disabilities Clinic/Center	$0	$45.1M
Citycare Health Services, Inc	DC	Community/Behavioral Health Agency	$0	$36.4M
Janilcar Inc	DC	Durable Medical Equipment & Medical Supplies	$0	$32.7M
Dc Health Care Inc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$24.2M

Premium Select Home Care Inc — Billing Profile & Reimbursement Data

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Premium Select Home 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