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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

1st Care Of New Mexico LLC (NPI 1548505290)

Field	Value
Entity Type	Organization
Organization	1st Care Of New Mexico LLC
Address	2832 Carlisle Ne
City	Albuquerque
State	NM
ZIP	87110
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	December 6, 2012

Payer Source	Total Paid
Medicaid	$86.5M
Medicare	$0

Key Findings

This entity is effectively a single‑payer operation: there is no Medicare billing on file for this provider and its entire reported lifetime billing is Medicaid‑based, totaling $86.5M in Medicaid revenue. The absence of Medicare activity means analyses of its payer mix should treat it as a Medicaid‑focused operator rather than a mixed Medicare/Medicaid provider.

Revenue is highly concentrated in a very small set of Medicaid service lines: the precomputed top three codes account for 99.9% of this provider’s total Medicaid revenue. Those codes are 99509 ($46.3M, 53.5% of Medicaid revenue), T1019 ($35.1M, 40.6%), and G9006 ($5.1M, 5.9%), indicating almost all dollars flow from these three billed services.

The provider’s code mix and volumes are consistent with an In Home Supportive Care Agency: 99509 (home health provider visits for ADLs) and T1019 (personal care services per 15 minutes) together represent the vast majority of billing, while G9006 (coordinated care fee, home monitoring) complements those hands‑on services with remote/coordinated care. High claim counts—125.4K claims for 99509 and 456.1K claims for T1019—plus the reported average paid amounts ($369 and $77 respectively) demonstrate an operational model centered on frequent, recurring personal care and visit-based services.

State competitive standing is solid but described as typical in the dataset: 99509 ranks #10 of 82 providers in‑state (89th percentile; typical, unremarkable volume), T1019 ranks #7 of 89 (93th percentile; typical, unremarkable volume), and G9006 ranks #10 of 79 (88th percentile; typical, unremarkable volume). These rank/percentile positions place the provider in the upper tier regionally for its main codes, but the dataset labels these volumes as typical rather than exceptional, so it appears as an important statewide participant rather than a dominant outlier.

Operational scale and pricing profile are visible in the claim‑level metrics: 99509 shows 125.4K claims at $369 avg paid/claim, T1019 shows 456.1K claims at $77 avg paid/claim, and G9006 shows 23.1K claims at $220 avg paid/claim. Those numbers indicate heavy utilization of time‑based personal care (T1019) by claim count and concentration of reimbursement dollars in visit‑level payments (99509) by dollar volume, which has implications for staffing intensity and scheduling practices.

Longevity: the provider’s NPI was enumerated on 2012-12-06 (~14 years ago), indicating an established presence in the market. That tenure, combined with top‑tier state rankings, suggests an entrenched operational footprint in New Mexico’s home/supportive care ecosystem.

Ancillary revenue is negligible: S9999 (Sales tax) appears as a small line item with 3.4K claims, $18 avg paid/claim and $61.9K revenue (0.1% of Medicaid revenue), so non‑service ancillary receipts do not meaningfully diversify the revenue base.

Concentration risk is material from a payor and service mix perspective: with 99.9% of Medicaid revenue coming from three codes, changes in state Medicaid policy, reimbursement rates, or utilization controls for 99509, T1019, or G9006 could materially affect overall revenue. Analysts should prioritize monitoring policy and contract developments that affect these specific codes when assessing financial exposure.

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
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	125,370	$370	$46.3M
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…	456,100	$80	$35.1M
G9006	Coordinated care fee, home monitoring	23,140	$220	$5.1M
S9999	Sales tax	3,440	$20	$61.9K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

1st Care Of New Mexico LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	10	80	20,990	$310	$16.4M
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…	7	90	92,900	$70	$13.3M
G9006	Coordinated care fee, home monitoring	10	80	3,840	$190	$2M
S9999	Sales tax	27	160	800	$10	$25.2K

Nearby Providers

Other providers in the same ZIP code as 1st Care Of New Mexico LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Options, Inc	NM	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$76.7M
Abarim Home Health Care Inc.	NM	Community Based Hospice Care Agency	$0	$66M
New Mexico Department Of Health	NM	Customized Equipment (DME)	$0	$60.4M
Independent Living Resource Center	NM	Personal Care Attendant	$0	$57.7M
Ability First, LLC	NM	Exclusive Provider Organization	$0	$49M
Alta Mira Specialized Family Services, Inc.	NM	Community/Behavioral Health Agency	$0	$46.2M
Southwest Family Guidance Center LLC	NM	Adolescent and Children Mental Health Clinic/Center	$0	$32.7M
Aid Home Health Care Services LLC.	NM	Home Health Agency	$0	$32.4M
Active Solutions Incorporated	NM	Developmentally Disabled Services Day Training Agency	$0	$31.3M
Great Livin', LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$27.1M

1st Care Of New Mexico LLC — Billing Profile & Reimbursement Data

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1st Care Of New Mexico LLC — 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