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

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

Help At Home, LLC (NPI 1467589911)

Field	Value
Entity Type	Organization
Organization	Help At Home, LLC
Address	500 W 81st Ave
City	Merrillville Bra
State	IN
ZIP	46410
Taxonomy	Home Health Agency
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$207.5M
Medicare	$0

Key Findings

HELP AT HOME, LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file while lifetime Medicaid revenue is $207.5M, indicating the organization’s entire billed footprint in the dataset is Medicaid-focused rather than split across Medicare and Medicaid. This concentration makes the provider operationally and financially dependent on Medicaid program policies and managed-care arrangements.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 81.8% of the provider’s total Medicaid revenue, with T2016 alone generating $106M (51.1% of Medicaid revenue), S5125 generating $39.4M (19.0%), and T2033 generating $24.5M (11.8%). This level of concentration signals that a few residential and attendant-care services drive the bulk of the business.

The code mix—dominated by T2016 (habilitation, residential, waiver; per diem), T2033 (residential care, nos, waiver; per diem), and S5125 (attendant care services; per 15 minutes)—indicates HELP AT HOME operates primarily as a residential habilitation and attendant-care provider under waiver programs, providing per-diem residential supports and high-volume attendant care rather than episodic clinical home-health procedures. The presence of other waiver and homemaker codes (e.g., S5151, S5130, T2020) reinforces a service portfolio centered on long-term daily support and community habilitation.

HELP AT HOME is a dominant statewide provider for several Medicaid waiver services: T2016 ranks #1 of 65 providers in-state (100th percentile; extreme outlier) and S5125 ranks #1 of 109 providers in-state (100th percentile; extreme outlier), while T2033 ranks #2 of 52 providers (98th percentile; extreme outlier). Those rank/percentile positions and the “extreme outlier” designation indicate the organization operates at volumes far above typical state peers for core residential and attendant-care codes.

Beyond the top three codes, HELP AT HOME also reports substantial revenue from S5151 (unskilled respite care; $18.9M, 9.1% of Medicaid revenue, ranks #1 of 41 in-state, 100th percentile) and S5130 (homemaker service; $7.7M, 3.7% of Medicaid revenue, ranks #1 of 55 in-state, 100th percentile), which suggests a broad footprint across waiver services including respite and homemaker supports that complement its residential habilitation offering. These additional high-ranking codes strengthen the provider’s role as a comprehensive waiver-services operator.

Service-level outliers include a small behavioral-health counseling component (H0004: $3M, 1.4% of revenue; ranks #9 of 72, 89th percentile) and emergency-response fees (S5161: $964.8K, 0.5% of revenue; ranks #2 of 14, 92nd percentile), showing some diversification into ancillary support services commonly paired with long-term residential care. Conversely, the presence of 391 claims billed under 99600 with $0 paid suggests a marginal volume of uncoded home-visit reporting that did not generate paid revenue in the dataset.

HELP AT HOME’s NPI was enumerated on 2007-02-28 (~19 years ago), indicating long-tenured operation in the market; combined with its outsized state ranks on multiple waiver and attendant-care codes, this tenure supports the view that the provider has grown an entrenched Medicaid service footprint over many years. Given its near-total reliance on Medicaid revenue and extreme statewide market positions for several high-revenue codes, the provider’s performance and risk profile will be highly sensitive to state waiver policy, rate changes, and managed-care contracting dynamics.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	540,650	$200	$106M
S5125	Attendant care services; per 15 minutes	547,000	$70	$39.4M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	249,500	$100	$24.5M
S5151	Unskilled respite care, not hospice; per diem	161,220	$120	$18.9M
S5130	Homemaker service, nos; per 15 minutes	220,540	$40	$7.7M
T2020	Day habilitation, waiver; per diem	90,530	$70	$6.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	46,980	$60	$3M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	20,100	$50	$964.8K
T2022	Case management, per month	4,370	$100	$436.8K
T2002	Non-emergency transportation; per diem	23,190	$10	$231.9K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Help At Home, LLC — 7 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	1	70	3,190	$630	$14.7M
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	117	130	15,770	$110	$3.9M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2	50	1,090	$180	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	9	70	3,960	$130	$1.9M
S5125	Attendant care services; per 15 minutes	1	110	2,590	$140	$1.5M
T2020	Day habilitation, waiver; per diem	2	60	5,550	$110	$1.4M
S5151	Unskilled respite care, not hospice; per diem	1	40	970	$220	$1.3M
T2022	Case management, per month	17	100	710	$180	$1.1M
T2002	Non-emergency transportation; per diem	4	70	2,190	$50	$319.8K
S5130	Homemaker service, nos; per 15 minutes	1	60	1,390	$50	$297K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinnacle Treatment Centers In-1, LLC D/b/a Recovery Works Merrillville	IN	Substance Abuse Rehabilitation Facility	$0	$43.1M
Southlake Community Mental Health Center Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.2M
Southlake Community Mental Health Center Inc.	IN	Psychiatric Hospital	$0	$22.6M
Innovations In Learning, PC	IN	Behavior Analyst	$0	$15.1M
Southlake Community Mental Health Center Inc.	IN	Clinic/Center	$0	$14M
Robert W Moses O.d. Professional Corporation	IN	Optometrist	$0	$13.4M
All Family Dental & Braces, LLC.	IN	General Practice Dentistry	$0	$12.1M
Northshore Health Centers, Inc.	IN	Federally Qualified Health Center (FQHC)	$0	$10.9M
Belvedere Slf LLC	IN	Assisted Living Facility	$0	$10.1M
Tradewinds Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$7.6M

Help At Home, LLC — Billing Profile & Reimbursement Data

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Help At Home, 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

Nearby Providers

Frequently Asked Questions

References