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

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

Phoenix Home Care, LLC (NPI 1437458437)

Field	Value
Entity Type	Organization
Organization	Phoenix Home Care, LLC
Address	1839 E Independence St Ste K
City	Springfield
State	MO
ZIP	65804
Taxonomy	Nursing Care Agency
NPI Enumerated	March 16, 2011

Payer Source	Total Paid
Medicaid	$199.5M
Medicare	$0

Key Findings

PHOENIX HOME CARE, LLC reports no Medicare billing on file and $199.5M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operator in the available claims data. This payer mix concentration means all observed billing exposure and revenue depend on Medicaid program rates and policy in Missouri.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, and a single code, T1000, represents $199.5M (100.0% of this provider's total Medicaid revenue) across 733.3K claims with an average paid per claim of $272. This indicates virtually all Medicaid receipts are driven by one service line.

The top-paying activity is T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes), which by definition reflects licensed private-duty nursing billed in short service units. The code mix suggests the business model centers on high-frequency, licensed nursing visits rather than episodic procedures or durable medical equipment.

Operational scale for T1000 is large: 733.3K claims for a single code implies very high visit volume and an operational model built around frequent, short-interval service delivery. Combined with an average paid/claim of $272, this volume translates into the reported $199.5M revenue and signals substantial staffing, scheduling, and visit-management infrastructure.

Competitively, PHOENIX HOME CARE ranks #1 of 17 providers in-state for T1000 and sits at the 100th percentile, labeled an "extreme outlier, far above typical state volume for this code." This ranking identifies the provider as a dominant in-state player for private-duty licensed nursing services rather than a modest participant.

The provider has an established presence: its NPI was enumerated on 2011-03-16 (~15 years ago), indicating long-tenure operations in the market. That longevity combined with concentrated Medicaid billing suggests sustained specialization in the private-duty nursing space.

The extreme concentration of revenue in a single CPT/HCPCS code (T1000) creates both operational leverage and financial sensitivity: any Medicaid policy, coding, or rate change affecting T1000 would materially impact the provider's entire revenue base. Analysts should view the provider as high exposure to Medicaid reimbursement dynamics and program changes specific to private duty nursing.

From a payer and network-management perspective, PHOENIX HOME CARE represents a strategic counterparty for in-state private-duty nursing capacity given its scale, but also a single-service dependency; contracting, utilization management, and audit oversight focused on T1000 will capture the vast majority of the provider's Medicaid activity.

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 Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	733,280	$270	$199.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Phoenix Home Care, LLC — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1	20	15,030	$300	$19.9M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Phoenix Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoenix Home Care, LLC	MO	In Home Supportive Care Agency	$0	$149M

Nearby Providers

Other providers in the same ZIP code as Phoenix Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Burrell, Inc.	MO	Community/Behavioral Health Agency	$0	$758.9M
Integrity Home Care, LLC	MO	Home Health Agency	$0	$115.7M
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$64.5M
Preferred Family Healthcare, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23M
Premier Home Health Care, Inc.	MO	Home Health Agency	$0	$12.1M
Burrell, Inc.	MO	Community/Behavioral Health Agency	$0	$9.1M
2gethertech, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.5M
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$6.6M
Easter Seals Midwest	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.7M
Elite Pain Management, LLC	MO	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$3.5M

Phoenix Home Care, LLC — Billing Profile & Reimbursement Data

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Phoenix Home Care, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References