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

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

Lhcg Cxxv, LLC (NPI 1528573896)

Field	Value
Entity Type	Organization
Organization	Lhcg Cxxv, LLC
Address	614 S Main St Ste 3
City	Nashville
State	AR
ZIP	71852
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	December 8, 2017

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	76,830	$60	$4.5M
S5125	Attendant care services; per 15 minutes	21,490	$60	$1.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	520	$60	$29K
T1017	Targeted case management, each 15 minutes	60	$10	$680

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arkansas Distribution

Lhcg Cxxv, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. Arkansas median

4 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…	18	140	18,150	$60	$2.5M
S5125	Attendant care services; per 15 minutes	10	80	4,280	$80	$1.7M
T1017	Targeted case management, each 15 minutes	86	90	1,830	$20	$206.4K
S5150	Unskilled respite care, not hospice; per 15 minutes	10	10	960	$90	$160.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Howard County Childrens Center Inc	AR	Developmentally Disabled Services Day Training Agency	$0	$11.9M
Cornerstone Counseling Clinic, Inc.	AR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M
Howard Memorial Hospital	AR	Critical Access Hospital	$0	$3.9M
Southwest Arkansas Homecare, LLC	AR	Home Health Agency	$0	$2.9M
Brian Oge	AR	Family Medicine Physician	$142.6K	$175.6K
Charles Caldwell	AR	Family Medicine Physician	$214.6K	$0
Clay Ferguson	AR	Family Medicine Physician	$162.4K	$0

Lhcg Cxxv, LLC — Billing Profile & Reimbursement Data

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Lhcg Cxxv, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References