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

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

Champion Care, Inc (NPI 1447283270)

Field	Value
Entity Type	Organization
Organization	Champion Care, Inc
Address	1419 Market St
City	Laredo
State	TX
ZIP	78040
Taxonomy	Home Health Agency
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$82.8M
Medicare	$0

Key Findings

CHAMPION CARE, INC shows an effectively single‑payer footprint: there is no Medicare billing on file while lifetime Medicaid revenue totals $82.8M. This makes the organization heavily dependent on Medicaid for its payer mix and overall financial scale.

Revenue is extremely concentrated in a small set of service codes — the precomputed top 3 Medicaid codes by revenue account for 98.9% of this provider's total Medicaid revenue. In particular, S5125 alone generates $76.3M, which is 92.2% of the provider's reported Medicaid revenue, signaling a dominant reliance on that single service line.

The provider’s code mix indicates a hands‑on, labor‑intensive home care business model: S5125 (attendant care services; per 15 minutes), T1019 (personal care services; per 15 minutes), and T1005 (respite care services; up to 15 minutes) together drive nearly all revenue. The per‑15‑minute billing structure for the top codes suggests a service delivery model built around frequent, short‑duration visits and substantial frontline caregiver hours.

CHAMPION CARE is a major statewide player for attendant care: S5125 ranks #19 of 1678 providers in Texas (99th percentile) and is described as notably above typical state volume for this code. By contrast, its positions on T1019 (rank #166 of 1050, 84th percentile) and T1005 (rank #55 of 564, 90th percentile) are high but characterized as typical/unremarkable, indicating dominance is concentrated specifically in attendant care rather than across all home‑care codes.

Operational intensity is reflected in claim volume and unit payments: S5125 records 1.3M claims at an average paid per claim of $59, while T1019 and T1005 account for 99.6K and 39.3K claims respectively. These high claim counts for per‑15‑minute services imply large-scale scheduling, visit management, and payroll operations to support sustained service delivery.

CHAMPION CARE offers ancillary services but they are minor revenue contributors: S9110 (telemonitoring) generates $736K (0.9% of Medicaid revenue) and ranks #19 of 79 providers in-state (77th percentile), while other listed codes contribute negligible shares. This pattern suggests some diversification into remote monitoring and habilitation but the business remains overwhelmingly focused on direct attendant and personal care.

The provider has long tenure in the market, with NPI enumeration dated 2006-07-07 (~20 years ago), which combined with the concentrated Medicaid revenue and high S5125 ranking points to an established, entrenched presence in Texas Medicaid home‑care for attendant services.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	1,293,650	$60	$76.3M
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…	99,630	$40	$3.7M
T1005	Respite care services, up to 15 minutes	39,280	$50	$1.9M
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	4,140	$180	$736K
T2017	Habilitation, residential, waiver; 15 minutes	2,420	$60	$147.4K
99090	N/A	250	$10	$1.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Champion Care, Inc — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	19	1,680	50,290	$60	$9.5M
T2017	Habilitation, residential, waiver; 15 minutes	50	60	19,340	$80	$3M
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…	166	1,050	23,280	$30	$1.8M
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	19	80	1,400	$190	$1.2M
T1005	Respite care services, up to 15 minutes	55	560	8,490	$50	$842.3K
99090	N/A	1	10	190	$10	$1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ctj Carino Primary Care L.L.C	TX	Home Health Agency	$0	$16.4M
At Your Service Home Health, Inc.	TX	Personal Care Attendant	$0	$12.6M
Texas Health Staffing Services, Inc.	TX	Home Health Agency	$0	$11.5M
City Of Laredo	TX	Land Ambulance	$1.2M	$5M
United Med Care Ambulance	TX	Ambulance	$1.1M	$744.6K
Manuel Gonzalez	TX	Vascular Surgery Physician	$123K	$2.3K

Champion Care, Inc — Billing Profile & Reimbursement Data

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Champion 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