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.

Forum Home Health Agency LLC. (NPI 1558487124)

Field	Value
Entity Type	Organization
Organization	Forum Home Health Agency LLC.
Address	3828 Meramec St
City	Saint Louis
State	MO
ZIP	63116
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicaid	$36.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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…	93,350	$270	$25.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	37,610	$200	$7.4M
S5130	Homemaker service, nos; per 15 minutes	19,870	$80	$1.6M
T1001	Nursing assessment / evaluation	32,170	$50	$1.5M
S5100	Day care services, adult; per 15 minutes	8,550	$70	$581.3K

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

Forum Home Health Agency LLC. — 1 of 5 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

5 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…	156	1,330	6,550	$80	$4.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	25	220	3,750	$60	$1.3M
S5100	Day care services, adult; per 15 minutes	66	130	8,670	$60	$1.1M
T1001	Nursing assessment / evaluation	21	420	1,610	$50	$378.4K
S5130	Homemaker service, nos; per 15 minutes	15	90	3,300	$30	$317.1K

Nearby Providers

Other providers in the same ZIP code as Forum Home Health Agency LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neoly Home Care LLC	MO	Home Health Agency	$0	$36.4M
A Lending Hand Home Care, Inc.	MO	In Home Supportive Care Agency	$0	$7.1M

Forum Home Health Agency LLC. — Billing Profile & Reimbursement Data

Sign up for Forum Home Health Agency LLC. — Billing Profile & Reimbursement Data policy alerts

Forum Home Health Agency LLC. — Billing Profile & Reimbursement Data

Sign up for Forum Home Health Agency LLC. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References