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

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

Pro Care Unlimited, LLC (NPI 1518373703)

Field	Value
Entity Type	Organization
Organization	Pro Care Unlimited, LLC
Address	24725 W 12 Mile Rd Ste 200
City	Southfield
State	MI
ZIP	48034
Taxonomy	Home Health Agency
NPI Enumerated	July 8, 2014

Payer Source	Total Paid
Medicaid	$216M
Medicare	$0

Key Findings

PRO CARE UNLIMITED, LLC is effectively a single‑payer Medicaid provider: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $216M, indicating the organization operates almost entirely in the Medicaid market rather than Medicare. This concentration means Medicare peer comparisons are not applicable for this entity.

Revenue is extremely concentrated in a very small number of service codes: the precomputed top 3 Medicaid codes account for 99.1% of this provider's total Medicaid revenue, leaving only a sliver of revenue across other codes and services. That concentration suggests the business model is highly focused on a few service lines and therefore sensitive to rate or policy changes that affect those codes.

H2015 is the single largest revenue driver: H2015 has $154.4M revenue (71.5% of this provider's total Medicaid revenue) from 1.2M claims at $124 avg paid/claim, and it ranks #4 of 614 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). The presence of H2015 (Comprehensive community support services, per 15 minutes) as the dominant line indicates a large-scale community support operation oriented toward intensive, ongoing behavioral health or community support services.

T1019 and T1005 together make up the remainder of the top revenue mix: T1019 generated $31.4M revenue (14.6% of this provider's total Medicaid revenue) across 36.6K claims and ranks #13 of 63 providers in-state (81th percentile; typical, unremarkable volume), while T1005 produced $28.3M revenue (13.1% of this provider's total Medicaid revenue) across 442.3K claims and ranks #1 of 106 providers in-state (100th percentile; extreme outlier). These codes (personal care services and respite care services) point to a heavy operational emphasis on hands‑on personal care and large-volume, short-interval respite services in community or home settings.

Several additional codes appear as minor ancillary lines: H0043 contributed $1.8M (0.8% of total Medicaid revenue) and ranks #88 of 130 (33th percentile), B4150 produced $73.6K (0.0% of total) and ranks #44 of 53 (15th percentile), and S0215 produced $13.7K (0.0% of total) and ranks #84 of 107 (22th percentile). These smaller codes (supported housing, enteral formula, and non-emergency transportation mileage) suggest ancillary supports are provided but are not central to the provider’s revenue base.

Competitive standing is mixed by code: for H2015 and T1005 the provider is a dominant outlier statewide (100th percentile; extreme outlier), demonstrating exceptional scale in these Medicaid service lines relative to peers, while its T1019 position (81th percentile) is unremarkable and indicates more typical participation in personal care services compared with in‑state peers. This pattern indicates the provider is a major, possibly specialized market player for comprehensive community support and respite services but more ordinary for personal care.

Operational and business implications follow from tenure and scale: the NPI was enumerated on 2014-07-08 (~12 years ago), so the provider has an established presence in the state market, and its large Medicaid footprint ($216M) combined with years of operation suggests these service lines are a sustained focus rather than a short‑term anomaly. However, the heavy reliance on a tiny set of codes creates strategic vulnerability if reimbursement, eligibility, or utilization for those codes changes.

For analysts assessing risk and strategy, the headline facts are simple and data‑grounded: no Medicare billing to benchmark against national peers, $216M concentrated in Medicaid with 99.1% of revenue from three codes, and two of those codes (H2015 and T1005) are extreme outliers in-state. Any competitive or policy analysis should prioritize H2015 and T1005 given their outsized contribution to revenue and standing among peers.

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
H2015	Comprehensive community support services, per 15 minutes	1,245,030	$120	$154.4M
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…	36,640	$860	$31.4M
T1005	Respite care services, up to 15 minutes	442,340	$60	$28.3M
H0043	Supported housing, per diem	4,290	$420	$1.8M
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	180	$420	$73.6K
S0215	Non-emergency transportation; mileage, per mile	430	$30	$13.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Pro Care Unlimited, LLC — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan 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…	13	60	2,340	$70	$19.6M
H2015	Comprehensive community support services, per 15 minutes	4	610	14,740	$90	$6M
H0043	Supported housing, per diem	88	130	10,330	$210	$4.5M
T1005	Respite care services, up to 15 minutes	1	110	4,910	$80	$2.2M
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	44	50	1,510	$70	$292K
S0215	Non-emergency transportation; mileage, per mile	84	110	2,100	$30	$250.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coordinated Community Living	MI	Home Health Agency	$0	$85.8M
Vhs Physicians Of Michigan	MI	Internal Medicine Physician	$0	$73.9M
Angels' Place	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$18.1M
North West Labs, Inc.	MI	Clinical Medical Laboratory	$1.4M	$10.9M
Great Lakes Surgical Center LLC	MI	Ambulatory Surgical Clinic/Center	$82.6K	$4M
City Of Southfield	MI	Ambulance	$845.3K	$1.8M
Biogenetics Laboratories, Inc.	MI	Clinical Medical Laboratory	$648.4K	$1.9M
Michael Ober	MI	Ophthalmology Physician	$1.8M	$0
Robert Scribner	MI	Gerontology Nurse Practitioner	$1.5M	$0
Darrin Levin	MI	Ophthalmology Physician	$1.5M	$0

Pro Care Unlimited, LLC — Billing Profile & Reimbursement Data

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Pro Care Unlimited, 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