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

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

Charles S. Ramon, LLC. (NPI 1528157187)

Field	Value
Entity Type	Organization
Organization	Charles S. Ramon, LLC.
Address	2301 San Fernando St
City	San Antonio
State	TX
ZIP	78207
Taxonomy	Home Health Agency
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicaid	$70.6M
Medicare	$0

Key Findings

CHARLES S. RAMON, LLC. is effectively a single-payer Medicaid operator: there is no Medicare billing on file and all reported public revenue is Medicaid totaling $70.6M. The provider’s NPI was enumerated on 2006-10-12 (~20 years ago), indicating a long-tenured presence in the San Antonio market.

Clinical and service mix reflects a personal-care/attendant-focused home health model rather than skilled nursing: the top codes are S5125 (attendant care services per 15 minutes), T1019 (personal care services per 15 minutes), and T1005 (respite care services up to 15 minutes). This mix indicates day-to-day, non-skilled caregiver services are the core offering rather than episodic skilled home health.

Revenue is highly concentrated in a single procedure line: the top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with S5125 alone representing $65M (92.1% of the provider’s Medicaid revenue). This concentration means the provider’s financial profile is dominated by attendant care reimbursements rather than a diversified Medicaid code mix.

S5125 is the dominant driver of scale and volume: the provider reported 1M claims for S5125 with an average paid/claim of $63 and $65M in revenue, and it ranks #37 of 1678 providers in-state (98th percentile; notably above typical state volume for this code). That rank and claim count position the provider as a high-volume state-level participant for attendant care services.

T1019 and T1005 make up the modest remainder of Medicaid revenue and have different competitive footprints: T1019 accounted for $3.7M from 76.3K claims at $48 avg paid/claim and ranks #209 of 1050 in-state (80th percentile; typical, unremarkable volume for this code), while T1005 accounted for $1.9M from 40.3K claims at $47 avg paid/claim and ranks #49 of 564 in-state (91th percentile; typical, unremarkable volume for this code). Together these two codes provide supplementary personal and respite care capacity but do not materially alter the provider’s S5125-dominated revenue mix.

Operational implications of the volume mix are significant: processing 1M claims for S5125 and tens of thousands of T1019/T1005 claims implies a sizable caregiver workforce and claims-administration capacity focused on per-15-minute attendant/personal care billing. Given that $65M of $70.6M Medicaid revenue is tied to one code, changes in policy, reimbursement rates, or utilization for S5125 would materially affect the provider’s Medicaid revenue.

From a competitive-analytics perspective the provider is a major in-state attendant-care supplier but not a diversified Medicaid home-health operator: high percentile ranking on S5125 (98th) indicates market leadership for that service, while the other top codes show only typical participation levels. Analysts evaluating payer contract opportunities or regulatory changes should treat this entity as a large, Medicaid-centric attendant care provider with concentrated exposure to S5125 reimbursement dynamics.

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
S5125	Attendant care services; per 15 minutes	1,031,690	$60	$65M
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…	76,320	$50	$3.7M
T1005	Respite care services, up to 15 minutes	40,330	$50	$1.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Charles S. Ramon, LLC. — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	37	1,680	50,290	$60	$9.5M
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…	209	1,050	23,280	$30	$1.8M
T1005	Respite care services, up to 15 minutes	49	560	8,490	$50	$842.3K

Nearby Providers

Other providers in the same ZIP code as Charles S. Ramon, LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barrio Comprehensive Family Health Care Center, Inc.	TX	Federally Qualified Health Center (FQHC)	$0	$147.8M
Christus Santa Rosa Health Care Corporation	TX	Children's Hospital	$0	$69.1M
Community Medicine Associates	TX	Family Medicine Physician	$0	$37.4M
Baylor College Of Medicine	TX	Pediatrics Physician	$0	$26.1M
City Of San Antonio Texas	TX	Land Ambulance	$4.4M	$12.7M
Davila Pharmacy, Inc.	TX	Pharmacy	$0	$13.4M
Renal Associates, P.A.	TX	Ambulatory Surgical Clinic/Center	$2.8M	$280.7K
Darrell Baskin	TX	Ophthalmology Physician	$2.2M	$0
Mark Collazo	TX	Family Nurse Practitioner	$742.5K	$0
Erika Gonzalez	TX	Allergy & Immunology Physician	$467.9K	$5.3K

Charles S. Ramon, LLC. — Billing Profile & Reimbursement Data

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Charles S. Ramon, LLC. — Billing Profile & Reimbursement Data

Sign up for Charles S. Ramon, LLC. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References