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    OpenPayerNPI Medicare & MedicaidJhc Operations, LLC
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    Jhc Operations, LLC — Billing Profile & Reimbursement Data

    NPI 1518004233 · Mount Vernon, TX · Home Health Agency

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    Jhc Operations, LLC is a home health agency provider located in Mount Vernon, Texas. This profile covers 0 Medicare and 2 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
    OrganizationJhc Operations, LLC
    Address412 Highway 37 South
    CityMount Vernon
    StateTX
    ZIP75457
    TaxonomyHome Health Agency
    NPI EnumeratedJanuary 31, 2007

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

    Payer SourceTotal Paid
    Medicaid$97.6M
    Medicare$0

    Key Findings

    JHC OPERATIONS, LLC is effectively a Medicaid-focused provider: there is no Medicare billing on file and total reported Medicaid revenue is $97.6M, indicating a single-payer concentration in Medicaid for its public-program revenue. The provider’s NPI was enumerated 2007-01-31 (~19 years ago), showing a long-tenured presence in the market which aligns with its large Medicaid footprint.

    Revenue is extremely concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue. In particular, S5125 alone represents $96.1M (98.5% of Medicaid revenue) and T1019 represents $1.5M (1.5% of Medicaid revenue), leaving virtually no material other Medicaid revenue drivers reported.

    The code mix and descriptions indicate that this operator functions primarily as an attendant/personal-care service provider rather than a medically skilled home-health operation: S5125 is billed as attendant care services per 15 minutes and T1019 as personal care services per 15 minutes. This pattern is consistent with a service model focused on high-volume, direct personal support and attendant care delivered in community or home settings rather than Medicare-style skilled nursing visits.

    S5125 shows extreme scale: 1.6M claims at an average paid/claim of $60 producing $96.1M in revenue, and the provider ranks #13 of 1678 in-state (99th percentile; extreme outlier). That ranking and volume position JHC as a dominant in-state provider for attendant care (S5125) and far above typical peers on that service line.

    By contrast, T1019 is a modest, typical contributor: 34.4K claims at an average paid/claim of $43 producing $1.5M in revenue, and the provider ranks #419 of 1050 in-state (60th percentile; typical, unremarkable volume). This suggests that while the organization is market-leading on S5125, it is an ordinary participant on other personal-care codes.

    The combination of very high claim volume for a single code (S5125) and near-total Medicaid dependence concentrates operational and reimbursement risk: any changes to Medicaid policy, eligibility for attendant care programs, or reimbursement rates for S5125 could materially affect reported revenue. Analysts should treat the provider as sensitive to state Medicaid program changes rather than diversified across payers or service lines.

    From a competitive standing perspective, JHC is a clear in-state outlier for attendant care services but not broadly dominant across multiple personal-care codes; its rank of #13/1678 on S5125 indicates a specialized scale advantage in that specific service. The contrast between an extreme outlier position on S5125 and a middle-of-the-pack position on T1019 implies strategic concentration rather than broad-based market leadership.

    Operationally, the dataset suggests a high-throughput, volume-driven care delivery model: very large claim counts (1.6M for S5125) combined with per-15-minute billing units point to services delivered in many short-duration intervals aggregated across a large beneficiary population. This has implications for staffing, scheduling, and claims-adjudication workflows that likely support high-volume, routine personal assistance rather than episodic skilled clinical interventions.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes1,601,690$60$96.1M
    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…34,430$40$1.5M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes131,68050,290$60$9.5M
    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…4191,05023,280$30$1.8M

    Nearby Providers

    Other providers in the same ZIP code as Jhc Operations, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eak Good Neighbor PropertiesTXSupports Brokerage Agency$0$154.7M
    Jhc Operations, LLCTXHome Health Agency$0$150M
    Abundant Life HcsTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$20.6M

    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. Texas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Jhc Operations, LLC — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas