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

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

Americare Healthcare Services, Inc (NPI 1477589877)

Field	Value
Entity Type	Organization
Organization	Americare Healthcare Services, Inc
Address	1010 Jackson Hole Dr Ste 202
City	Blacklick
State	OH
ZIP	43004
Taxonomy	Home Health Agency
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$129.5M
Medicare	$0

Key Findings

AMERICARE HEALTHCARE SERVICES, INC is effectively a Medicaid-focused home health agency: it has no Medicare billing on file and reports $129.5M in lifetime Medicaid revenue, indicating its operations and revenue generation are concentrated in Medicaid-managed services rather than traditional Medicare home health programs. The provider’s NPI was enumerated on 2006-06-25 (~20 years ago), signaling long tenure in the market which supports the scale of accumulated Medicaid billing.

Revenue is highly concentrated in a very narrow set of service codes: the precomputed top 3 Medicaid codes account for 99.3% of total Medicaid revenue, demonstrating that nearly all of the provider’s Medicaid income is driven by a handful of service lines rather than a broad mix of procedures. This concentration suggests business operations and capacity are optimized around those dominant services.

G0156 is the single largest Medicaid revenue driver for this provider, with $76.9M (59.4% of the provider’s Medicaid revenue) from 2.1M claims at an average paid/claim of $37. This code represents home health/hospice aide services delivered in 15-minute units, implying the organization is heavily staffed and deployed for aide-level, in-home support and that aide visits are central to its service model. The provider ranks #1 of 482 in-state for G0156 and is described as an extreme outlier, meaning its volume for aide services is far above typical state providers.

T1019 is the second dominant revenue source, contributing $50.5M (39.0% of Medicaid revenue) from 616.5K claims at $82 avg paid/claim, and the provider ranks #4 of 829 in-state for this personal care services code. The high rank and “extreme outlier” characterization for T1019 indicate AMERICARE is operating at scale in non-medical personal care delivered per 15-minute units as part of individualized treatment plans, reinforcing a business model focused on continuous, high-volume in-home personal care.

Clinical skilled nursing and assessment codes are present but de minimis relative to aide and personal care services: G0299 (RN skilled nursing) accounts for $1.1M (0.9% of Medicaid revenue) and T1001 (nursing assessment) accounts for $782.7K (0.6% of Medicaid revenue). G0299 ranks #76 of 561 (87th percentile) which is typical, while T1001 ranks #1 of 500 (described as an extreme outlier), suggesting that although the provider conducts a large number of assessments versus peers, ongoing skilled nursing visits are not a major revenue center for the organization. These patterns point to a model where assessments and personal care/aide delivery dominate over sustained higher-acuity nursing services.

Competitive standing within the state is dominant for key home-support codes: the provider is at the 100th percentile for G0156 and T1019 (rank #1 and #4 respectively) and is labeled an extreme outlier for both codes, indicating AMERICARE is one of the largest statewide suppliers of home health aide and personal care service units. For codes tied to skilled nursing, its percentile and ranks are more typical, positioning the firm as a leader in non-skilled and aide-level community-based services rather than in skilled clinical care.

The combination of no Medicare billing and concentrated Medicaid volume implies the provider is effectively single-payer from an operational revenue perspective, with Medicaid driving all recorded public-payer activity. This payer mix has implications for contracting, regulatory exposure, and care-delivery partnerships: payer negotiations and program compliance efforts will largely center on Medicaid program rules and rate structures rather than Medicare home health policies.

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
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	2,079,140	$40	$76.9M
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…	616,460	$80	$50.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	23,210	$50	$1.1M
T1001	Nursing assessment / evaluation	22,360	$40	$782.7K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	2,740	$40	$101.5K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	60	$70	$4.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Americare Healthcare Services, Inc — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

6 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…	4	830	20,350	$70	$3.1M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1	480	27,490	$30	$2.5M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	225	380	4,540	$40	$794.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	76	560	3,370	$40	$543.8K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	191	200	950	$60	$281.1K
T1001	Nursing assessment / evaluation	1	500	490	$30	$45.4K

Americare Healthcare Services, Inc — Billing Profile & Reimbursement Data

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Americare Healthcare Services, 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

Frequently Asked Questions

References