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

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

Health Resources Solutions Inc (NPI 1528094109)

Field	Value
Entity Type	Organization
Organization	Health Resources Solutions Inc
Address	1806 S Highland Ave Ste 225
City	Lombard
State	IL
ZIP	60148
Taxonomy	Home Health Agency
NPI Enumerated	June 24, 2006

Payer Source	Total Paid
Medicaid	$21.8M
Medicare	$0

Key Findings

HEALTH RESOURCES SOLUTIONS INC is effectively a Medicaid-focused home health operator with no Medicare billing on file and $21.8M in lifetime Medicaid revenue; the absence of Medicare claims on the record indicates its revenue exposure is concentrated in Medicaid rather than a mix of federal payers. The provider’s NPI was enumerated on 2006-06-24 (~20 years ago), giving it a long tenure in the market that coincides with the large Medicaid footprint shown in the claims data.

Revenue concentration is extremely high: the top three Medicaid codes (G0299, G0151, G0152) together account for 96.5% of the provider’s total Medicaid revenue, indicating that a small set of services drives nearly all billed Medicaid dollars and creating operational sensitivity to utilization or payment changes for those codes. Those three codes individually represent $9.8M (G0299), $8.1M (G0151), and $3.1M (G0152) of lifetime Medicaid revenue, underscoring the narrow service mix.

The code mix identifies the business model as a skilled home health service line concentrated on nursing and therapy: G0299 (direct RN skilled nursing) accounts for 44.1K claims at $223 avg paid/claim and $9.8M revenue, while G0151 (physical therapy) has 32.3K claims at $251 avg paid/claim and $8.1M, and G0152 (occupational therapy) has 12.9K claims at $237 avg paid/claim and $3.1M. These volumes and per-claim payment levels indicate routine, high-frequency provision of timed, hands-on skilled services in the home or hospice setting rather than episodic or non-skilled activity.

Competitive standing within Illinois is dominant for several core codes: the provider ranks #1 of 46 in the state for G0152 (100th percentile; extreme outlier) and ranks #2 for both G0299 (2 of 106; 99th percentile; extreme outlier) and G0151 (2 of 84; 99th percentile; extreme outlier). These rankings and the “extreme outlier” labels show this agency is far above typical in-state volume for its primary therapy and RN home-health services, positioning it as a major player in those service lines statewide.

Beyond the top three, some additional codes show notable but much smaller contributions: G0300 (LPN skilled nursing) produced $689.5K over 5.3K claims and ranks #1 of 30 in the state (100th percentile; extreme outlier), which complements the RN-led service mix with substantial LPN activity, though it remains a secondary revenue stream at 3.2% of total Medicaid revenue. Other listed codes (e.g., Q5001, G0157, Q5002) appear with claims but $0 avg paid/claim and $0 revenue on file, indicating billed activity that did not generate paid Medicaid revenue in these records and therefore had no material impact on lifetime Medicaid dollar totals.

From a payer-mix and risk perspective, the provider is effectively single-payer with Medicaid-only revenue recorded; that concentration creates sensitivity to state Medicaid reimbursement policy, utilization management, or eligibility shifts, because there is no Medicare revenue to diversify payer exposure. Any changes to Medicaid payment rates or coverage for timed skilled home health services (RN, PT, OT, LPN) would disproportionately affect this organization.

Operational implications for contracting and network strategy are clear: payers seeking to manage home-based skilled nursing and therapy capacity in Illinois should view HEALTH RESOURCES SOLUTIONS INC as a high-volume provider for timed in-home RN, PT, and OT services, given its extreme outlier volumes and top-state rankings. For payers evaluating adequacy and competition in-network, the provider’s heavy reliance on a few high-volume CPT/HCPCS codes suggests both negotiating leverage for those service lines and potential capacity concentration in certain geographic or service niches.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	44,060	$220	$9.8M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	32,340	$250	$8.1M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	12,920	$240	$3.1M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	5,300	$130	$689.5K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	390	$160	$62.3K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	1,500	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	1,050	$0	$0
Q5002	Hospice or home health care provided in assisted living facility	10	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Health Resources Solutions Inc — 4 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	2	110	3,040	$160	$1M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	2	80	2,730	$180	$868.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1	50	860	$170	$362.1K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1	30	540	$140	$157.1K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	2	10	250	$110	$121.7K
Q5001	Hospice or home health care provided in patient's home/residence	5	20	220	$20	$14.8K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	1	10	970	$1	$150
Q5002	Hospice or home health care provided in assisted living facility	2	10	10	$0	$0

Nearby Providers

Other providers in the same ZIP code as Health Resources Solutions Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intelliride, LLC	IL	Transportation Broker	$0	$297.1M
United Seating And Mobility LLC	IL	Durable Medical Equipment & Medical Supplies	$0	$28.7M
Us Spa Corp	IL	Clinical Medical Laboratory	$20.4M	$384.3K
U & F Sons, Inc.	IL	Homemaker	$0	$15.6M
Us Medical Labs Inc	IL	Clinical Medical Laboratory	$603.4K	$12.5M
Mmm Diagnostic Center Inc	IL	Clinical Medical Laboratory	$939.6K	$10.9M
United Eg LLC	IL	Clinical Medical Laboratory	$227.3K	$11.1M
Kevin Mccune	IL	Family Medicine Physician	$0	$9.6M
Village Of Lombard	IL	Land Ambulance	$552.9K	$6.7M
Cranial Technologies Inc	IL	Prosthetic/Orthotic Supplier	$0	$5M

Health Resources Solutions Inc — Billing Profile & Reimbursement Data

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Health Resources Solutions 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