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    OpenPayerNPI Medicare & MedicaidMeadowlark Home Care LLC
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    Meadowlark Home Care LLC — Billing Profile & Reimbursement Data

    NPI 1477926848 · Missoula, MT · Home Health Agency

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    Meadowlark Home Care LLC is a home health agency provider located in Missoula, Montana. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMeadowlark Home Care LLC
    Address800 Kensington
    CityMissoula
    StateMT
    ZIP59801
    TaxonomyHome Health Agency
    NPI EnumeratedNovember 7, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$12.9M
    Medicare$0

    Key Findings

    MEADOWLARK HOME CARE LLC appears to be effectively a single-payer Medicaid operation: there is no Medicare billing on file while lifetime Medicaid revenue totals $12.9M. This concentration of revenue under Medicaid implies its patient mix, contracting, and revenue risk are primarily tied to state Medicaid policies and fee schedules.

    Revenue for this provider is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 92.8% of total Medicaid revenue. In particular, T1019 alone generates $10.5M (81.5% of Medicaid revenue), making it the dominant revenue driver for the business.

    The code mix indicates a service model centered on personal care and short-interval nursing supports: T1019 (personal care services, per 15 minutes) is the primary line of business, while T1003 (Lpn/lvn services, up to 15 minutes) and S5126 (attendant care services; per diem) are the next largest contributors. This pattern suggests operations are focused on hands-on attendant and licensed practical nurse services delivered in community or home settings rather than on Medicare-style skilled home health episodes.

    Despite T1019’s outsized revenue share, the platform characterizes the provider’s T1019 volume as "typical, unremarkable": the code ranks #5 of 38 in-state (89th percentile; typical, unremarkable volume for this code). That framing implies that while T1019 drives most revenue, MEADOWLARK’s volume for that code is not a statistical outlier against in-state peers.

    By contrast, T1003 (Lpn/lvn services) is a relative strength versus peers: it accounts for $1M (8.0% of Medicaid revenue) and ranks #2 of 9 in-state (88th percentile; notably above typical state volume for this code). This elevated standing for LPN/LVN services suggests the provider competes particularly on licensed practical nurse support within the Medicaid market.

    S5126 (attendant care services; per diem) contributes $425.4K (3.3% of Medicaid revenue) and ranks #5 of 16 in-state (73th percentile; typical, unremarkable volume). Along with several smaller codes (for example T1002, T2001, S5125), these secondary codes form a modest supplemental revenue mix and reflect ancillary offerings such as RN visits, non-emergency transport, and per‑15‑minute attendant or homemaker services.

    The provider’s revenue concentration—92.8% from its top three codes—creates strategic and financial implications: payers and contracting teams should treat changes to reimbursement or utilization of T1019, T1003, or S5126 as having outsized impact on MEADOWLARK’s total revenue. This concentration also highlights where utilization management, audit focus, or care‑model negotiation would be most leverageable.

    MEADOWLARK has been enumerated for about eleven years (NPI enumerated 2015-11-07), indicating an established presence in the Montana Medicaid market. That tenure, combined with its high reliance on personal care codes, supports a view of the entity as a stable, Medicaid‑focused home‑care provider with particular operational strength in LPN/LVN service delivery.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…187,740$60$10.5M
    T1003Lpn/lvn services, up to 15 minutes15,720$70$1M
    S5126Attendant care services; per diem14,180$30$425.4K
    T1002Rn services, up to 15 minutes3,840$100$376.2K
    T2001Non-emergency transportation; patient attendant/escort4,930$50$221.7K
    S5125Attendant care services; per 15 minutes5,900$40$206.5K
    S5130Homemaker service, nos; per 15 minutes6,240$20$106.1K
    A0080Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest820$10$7.4K
    S0215Non-emergency transportation; mileage, per mile480$20$7.1K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Montana median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5126Attendant care services; per diem5205,400$100$111M
    T1019Personal 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…5406,240$130$14.6M
    T1002Rn services, up to 15 minutes4103,840$420$2.2M
    T1003Lpn/lvn services, up to 15 minutes2101,570$170$823K
    S5125Attendant care services; per 15 minutes210970$90$505.3K
    T2001Non-emergency transportation; patient attendant/escort4101,730$50$264.4K
    S5130Homemaker service, nos; per 15 minutes3101,560$30$143.8K
    A0080Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest11102,890$10$70.6K
    S0215Non-emergency transportation; mileage, per mile15201,250$10$41.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Western Montana Mental Health CenterMTMental Health Clinic/Center (Including Community Mental Health Center)$0$87.8M
    Opportunity Resources IncMTDevelopmentally Disabled Services Day Training Agency$0$48.5M
    Missoula Developmental Service CorpMTNon-emergency Medical Transport (VAN)$0$33.6M
    Express Personnel ServicesMTNursing Care Agency$0$20.4M
    3 Rivers Mental Health Solutions LLCMTCommunity/Behavioral Health Agency$0$16.7M
    Missoula County Public SchoolsMTLocal Education Agency (LEA)$0$16.3M
    Client Dedicated Services, IncMTHome Health Agency$0$10.6M
    Children's Dentistry Of The RockiesMTPediatric Dentistry$0$10.1M
    Missoula Pediatric Dentistry PCMTPediatric Dentistry$0$9.3M
    Missoula Oral SurgeryMTOral and Maxillofacial Surgery Clinic/Center$0$8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Montana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Meadowlark Home Care LLC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana