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

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

Hope Found,inc. (NPI 1497004584)

Field	Value
Entity Type	Organization
Organization	Hope Found,inc.
Address	10410 Kensington Pkwy Ste 212
City	Kensington
State	MD
ZIP	20895
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	September 5, 2012

Payer Source	Total Paid
Medicaid	$28.9M
Medicare	$0

Key Findings

HOPE FOUND,INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and all reported lifetime revenue is Medicaid at $28.9M. This concentration means analyses of utilization and revenue risk should focus on Medicaid program changes and managed-care arrangements rather than Medicare policy shifts.

The provider has an established presence in the market, with its NPI enumerated on 2012-09-05 (~14 years ago). This tenure is consistent with an organization that has built steady Medicaid billing relationships over multiple state program cycles.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 100.0% of the provider's total Medicaid revenue. This degree of concentration indicates the organization is specialized in a narrow set of service lines and therefore vulnerable to rate or utilization changes affecting those specific codes.

The code mix and descriptions indicate an operation focused on direct in-home ADL support and residential habilitation services. Heavy use of 99509 (home health provider visits for ADLs), plus material revenue from T2016 (habilitation, residential, waiver; per diem) and S5135 (companion care, per 15 minutes), suggests the organization provides hands-on personal care, time-based companion support, and per-diem residential habilitation rather than clinic- or procedure-driven care.

99509 is the dominant revenue driver: 65.4K claims, $261 avg paid/claim, $17.1M revenue (59.0% of this provider's total Medicaid revenue). HOPE FOUND,INC. ranks #1 of 10 providers in-state for 99509 and sits at the 100th percentile, described as notably above typical state volume; this makes the provider a statewide leader for ADL-focused home-visit services.

T2016 contributes a sizeable per-claim payment but a smaller share of revenue: 13.3K claims, $596 avg paid/claim, $7.9M revenue (27.4% of this provider's total Medicaid revenue). The provider ranks #9 of 11 in-state (20th percentile) for T2016 and is characterized as typical, unremarkable volume in the residential habilitation/waiver per diem market, indicating a modest competitive position there.

S5135 accounts for 14K claims, $281 avg paid/claim, $3.9M revenue (13.6% of this provider's total Medicaid revenue) and ranks #6 of 12 in-state (55th percentile). This middle-ranking position and the classification as typical, unremarkable volume suggest HOPE FOUND,INC. participates competitively in time-based companion care but is not a dominant statewide provider for that service.

Taken together, the provider appears highly specialized and regionally dominant for home-visit ADL services (99509) while maintaining more modest positions in residential habilitation (T2016) and companion care (S5135). For payer/provider analysts, contract negotiations or risk assessments should prioritize 99509 utilization trends and state Medicaid policy for waiver/per-diem services given that the top three codes (99509, T2016, S5135) together represent 100.0% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	65,360	$260	$17.1M
T2016	Habilitation, residential, waiver; per diem	13,270	$600	$7.9M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	14,040	$280	$3.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Hope Found,inc. — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	9	10	33,370	$580	$25.8M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1	10	29,130	$210	$7.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	6	10	11,460	$190	$2.9M

Nearby Providers

Other providers in the same ZIP code as Hope Found,inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
International Pediatrics, P A	MD	Pediatrics Physician	$0	$21M
B.w. Surgical Supply, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$8M
Infinity Nursing Services, Inc.	MD	Nursing Care Agency	$0	$7.5M
William Bara-jimenez	MD	Specialist	$417.1K	$295K
Steven Kariya	MD	Pulmonary Disease Physician	$352.2K	$0
Irfana Ali	MD	Emergency Medicine Physician	$326.7K	$0
Roji Menon	MD	Internal Medicine Physician	$325K	$0
Christina Byam	MD	Family Nurse Practitioner	$257.6K	$0
Mohammad Esmaili	MD	Podiatrist	$193.9K	$0
Gene Mirkin	MD	Podiatrist	$68.5K	$0

Hope Found,inc. — Billing Profile & Reimbursement Data

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Hope Found,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