Essence Health Care, Inc. — Billing Profile & Reimbursement Data
NPI 1538127022 · Houston, TX · Home Health Agency
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Essence Health Care, Inc. is a home health agency provider located in Houston, Texas. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Essence Health Care, Inc. |
| Address | 10101 Harwin Dr |
| City | Houston |
| State | TX |
| ZIP | 77036 |
| Taxonomy | Home Health Agency |
| NPI Enumerated | May 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $21.1M |
| Medicare | $0 |
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.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S5125 | Attendant care services; per 15 minutes | 191,430 | $50 | $10M |
| T2026 | Specialized childcare, waiver; per diem | 49,050 | $170 | $8.3M |
| T1005 | Respite care services, up to 15 minutes | 15,880 | $50 | $777.9K |
| 97124 | Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood… | 1,780 | $420 | $753.4K |
| 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… | 12,380 | $50 | $581.9K |
| H2032 | Activity therapy, per 15 minutes | 330 | $750 | $246.2K |
| G0100 | N/A | 3,590 | $60 | $230K |
| G0648 | N/A | 1,800 | $110 | $199.4K |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | 90 | $220 | $19.9K |
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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T2026 | Specialized childcare, waiver; per diem | 17 | 50 | 33,380 | $180 | $17.4M |
| S5125 | Attendant care services; per 15 minutes | 363 | 1,680 | 50,290 | $60 | $9.5M |
| H2032 | Activity therapy, per 15 minutes | 42 | 50 | 3,520 | $170 | $2.6M |
| 97124 | Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood… | 27 | 40 | 3,120 | $100 | $2.3M |
| 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… | 696 | 1,050 | 23,280 | $30 | $1.8M |
| G0176 | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) | 26 | 30 | 2,990 | $90 | $1.2M |
| G0100 | N/A | 18 | 30 | 7,330 | $70 | $1.2M |
| T1005 | Respite care services, up to 15 minutes | 168 | 560 | 8,490 | $50 | $842.3K |
| G0648 | N/A | 28 | 30 | 9,580 | $10 | $756.3K |
Nearby Providers
Other providers in the same ZIP code as Essence Health Care, Inc., ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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