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

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

Healthcare Services Of The Ozarks, Inc (NPI 1538136700)

Field	Value
Entity Type	Organization
Organization	Healthcare Services Of The Ozarks, Inc
Address	2240 W Sunset St Ste 104
City	Springfield
State	MO
ZIP	65807
Taxonomy	Home Health Agency
NPI Enumerated	March 7, 2006

Payer Source	Total Paid
Medicaid	$60.3M
Medicare	$0

Key Findings

This provider is effectively single-payer at scale: there is no Medicare billing on file while total Medicaid revenue is $60.3M, indicating the organization’s entire documented payer mix is concentrated in Medicaid. Analysts should treat Medicaid patterns as the primary lens for assessing business activity.

Revenue is extremely concentrated in a very small set of services: the top 3 Medicaid codes account for 97.5% of Medicaid revenue, led by T1019 at $52.2M (86.6%), followed by T1001 at $4.2M (6.9%) and S5150 at $2.4M (4.0%). This concentration means most of the provider’s financial footprint is driven by a handful of service lines.

The code mix points to a home- and community-based long-term services profile: T1019 (personal care services, per 15 minutes) dominates revenue, supported by high volumes of T1001 (nursing assessment/evaluation) and S5150 (unskilled respite care). Together these codes suggest the operation primarily delivers personal care aide services and related home assessments/respite rather than skilled Medicare-covered home health therapy.

HEALTHCARE SERVICES OF THE OZARKS is a statewide outlier on its top personal-care code: T1019 registers 1M claims and $52.2M revenue and ranks #13 of 1332 providers in-state (99th percentile; extreme outlier), indicating an unusually large market share or utilization level for this service relative to peers. This ranking signals dominant activity in personal care within Missouri.

The provider is also an extreme outlier on nursing assessments: T1001 shows 88.9K claims, $4.2M revenue and ranks #7 of 417 providers in-state (99th percentile; extreme outlier). That high rank on T1001 suggests the organization performs a very large volume of intake/assessment work in the Medicaid population compared with typical state providers.

Other Medicaid codes are materially smaller and more typical in-state: S5150 reports 54.2K claims, $2.4M revenue and ranks #21 of 216 providers (91st percentile; typical), while S5130 (31.5K claims, $441.3K) and T1028 (3.5K claims, $262.1K) also sit in high but not exceptional percentiles. T1000 (3K claims, $776.7K) is a minor revenue contributor and ranks #13 of 17 (25th percentile), indicating a limited role in private-duty nursing relative to a small set of peers.

The extreme reliance on a single code (T1019 at 86.6% of Medicaid revenue) combined with the top-3 concentration of 97.5% implies operational and reimbursement sensitivity: changes to payment policy, utilization control, or program enrollment for personal care would disproportionately affect this provider’s Medicaid revenue. Risk and forecasting should therefore focus on operational drivers for personal care services.

The provider has a long tenure in the NPI registry, enumerated 2006-03-07 (~20 years ago), which indicates longstanding participation in the Medicaid program and likely established referral or operational processes for home- and community-based services. Tenure combined with the concentration and high ranks suggests a mature, Medicaid-focused operation rather than a new market entrant.

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
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…	1,023,470	$50	$52.2M
T1001	Nursing assessment / evaluation	88,900	$50	$4.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	54,250	$50	$2.4M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	3,000	$260	$776.7K
S5130	Homemaker service, nos; per 15 minutes	31,520	$10	$441.3K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	3,490	$80	$262.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Healthcare Services Of The Ozarks, Inc — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	13	20	15,030	$300	$19.9M
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	1,330	6,550	$80	$4.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	21	220	3,750	$60	$1.3M
T1001	Nursing assessment / evaluation	7	420	1,610	$50	$378.4K
S5130	Homemaker service, nos; per 15 minutes	11	90	3,300	$30	$317.1K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	13	90	150	$90	$164.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Healthcare Services Of The Ozarks, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advocates For A Healthy Community, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$3.8M
Ronald Pritchard	OK	Diagnostic Radiology Physician	$166.5K	$5K
Louis Delcampo	MO	Anesthesiology Physician	$7.5K	$0

Nearby Providers

Other providers in the same ZIP code as Healthcare Services Of The Ozarks, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Supported Living And Employment Services, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$276.6M
Easy Living Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$183.2M
Lester E Cox Medical Centers	MO	General Acute Care Hospital	$0	$112.3M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$51.5M
Abilities First	MO	Case Management Agency	$0	$45.8M
Southwest Center For Independent Living	MO	In Home Supportive Care Agency	$0	$45.3M
Lester E Cox Medical Centers	MO	Land Ambulance	$0	$25.8M
Seniorage Area Agency On Aging	MO	Case Management Agency	$0	$19.2M
Maxim Healthcare Services, Inc.	MO	Home Health Agency	$0	$17.7M
Lester E Cox Medical Centers	MO	Family Medicine Physician	$0	$17M

Healthcare Services Of The Ozarks, Inc — Billing Profile & Reimbursement Data

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Healthcare Services Of The Ozarks, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References