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

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

Estrella Home Health Care Inc. (NPI 1437417078)

Field	Value
Entity Type	Organization
Organization	Estrella Home Health Care Inc.
Address	4155 E Jewell Ave Ste 816
City	Denver
State	CO
ZIP	80222
Taxonomy	Home Health Agency
NPI Enumerated	May 2, 2012

Payer Source	Total Paid
Medicaid	$30.3M
Medicare	$0

Key Findings

ESTRELLA HOME HEALTH CARE INC. is effectively a single-payer provider: there is no Medicare billing on file while total Medicaid revenue is $30.3M, indicating the organization’s operations and reimbursement are concentrated entirely in the Medicaid program. This payer mix makes Medicaid policy and rate changes particularly material to the provider’s financial performance.

The provider’s Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of its Medicaid revenue, with H0038 representing 91.3% of Medicaid dollars, T1019 contributing 6.7%, and S5130 making up 2.0%. Such concentration means a very small set of service lines drive nearly all reported revenue.

Business/service-line implications: despite the listed taxonomy of Home Health Agency, the dominant code H0038 (Self-help/peer services, per 15 minutes) and the presence of T1019 (Personal care services) and S5130 (Homemaker service) indicate the organization operates primarily in peer support and home- and community-based personal care rather than traditional skilled home health nursing. This code mix suggests operational focus on non-skilled supportive services commonly used in behavioral health and long-term services and supports.

H0038 is the clear revenue engine: 182.3K claims, $152 avg paid/claim, $27.7M revenue, and a rank of #8 of 276 providers in-state (97th percentile). This profile positions the provider as a major in-state supplier for peer/self-help services and the dataset explicitly labels its volume for H0038 as "notably above typical state volume," underscoring its outsized market role for that specific service.

T1019 (Personal care services) shows substantial activity but not dominance: 33.6K claims, $60 avg paid/claim, $2M revenue, ranking #76 of 475 in-state (84th percentile). The provider appears to be a solid regional participant for personal care services with “typical, unremarkable” volume relative to peers rather than a market leader.

S5130 (Homemaker service) is a secondary line of business with 14.9K claims, $41 avg paid/claim, and $609.3K revenue, ranking #69 of 342 in-state (80th percentile). Like T1019, S5130 reflects a moderate competitive position — active but not dominant — and is characterized in the data as typical volume for the state.

Tenure and competitive implication: the NPI was enumerated on 2012-05-02 (~14 years ago), indicating an established presence in the market. Combined with the extreme revenue concentration in H0038, the provider’s business is specialized and mature but also exposed to policy, utilization, or reimbursement shifts that affect a very narrow set of Medicaid service codes.

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
H0038	Self‑help/peer services, per 15 minutes	182,270	$150	$27.7M
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…	33,640	$60	$2M
S5130	Homemaker service, nos; per 15 minutes	14,860	$40	$609.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Estrella Home Health Care Inc. — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	8	280	2,330	$210	$4.8M
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…	76	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	69	340	3,530	$80	$1.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Rn Inc	CO	In Home Supportive Care Agency	$0	$21.3M
Estrella Home Health Care Inc.	CO	Home Health Agency	$0	$13.1M
One Hour Optical Medical Services, PC	CO	Optometrist	$0	$12.1M
Nostalgia Group, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Rocky Mountain Adult Daycare, Inc	CO	Adult Day Care Clinic/Center	$0	$9.4M
Azin Home Care, Inc	CO	In Home Supportive Care Agency	$0	$9M
Mental Health Center Of Denver	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.4M
True Care, LLC	CO	Home Health Agency	$0	$7.9M
Home Care Rn Inc	CO	Home Health Agency	$0	$6.7M
Embrace Kids, A Professional LLC	CO	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.9M

Estrella Home Health Care Inc. — Billing Profile & Reimbursement Data

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Estrella 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