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

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

Apc Home Health Service, Inc (NPI 1558573550)

Field	Value
Entity Type	Organization
Organization	Apc Home Health Service, Inc
Address	8825 N Loop Dr Ste 112
City	El Paso
State	TX
ZIP	79907
Taxonomy	Home Health Agency
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicaid	$66.2M
Medicare	$0

Key Findings

APC HOME HEALTH SERVICE, INC is a home health agency based in EL PASO, TX with an NPI enumerated on 2007-05-04 (~19 years ago). Its billing footprint is heavily Medicaid-focused with Total Medicaid revenue of $66.2M and no Medicare billing on file, indicating a long-standing, single-payer operational orientation toward state Medicaid programs.

The provider’s service mix is overwhelmingly weighted to attendant care: S5125 (attendant care services; per 15 minutes) accounts for the vast majority of clinical activity and reimbursement. S5125 alone is reported with 1.2M claims and a $57 avg paid/claim, producing $66M revenue, which reflects a business model centered on high-volume, minute-based personal care visits rather than episodic skilled nursing or therapy services.

Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and S5125 represents 99.7% of that Medicaid revenue. This level of concentration means the provider’s financial performance is tightly coupled to policy, utilization, and payment changes that affect S5125 reimbursement or eligibility.

Payer mix is effectively single-payer Medicaid: the profile lists Total Medicare revenue as none (no Medicare billing on file) while Total Medicaid revenue is $66.2M. Analysts should treat APC HOME HEALTH SERVICE as a Medicaid-centric operator when benchmarking utilization, contracting, or risk exposure.

State-level competitive standing for the primary code is strong: for S5125 the provider ranks #23 of 1678 providers in-state (99th percentile; notably above typical state volume for this code), indicating it is a major statewide participant for attendant care services. By contrast, its activity in respite services (T1005) is modest — T1005 reports 4.9K claims, $47 avg paid/claim and $229K revenue (0.3% of Medicaid revenue) and ranks #353 of 564 providers in-state (37th percentile; typical, unremarkable volume).

The operational scale implied by 1.2M S5125 claims suggests a sizable attendant workforce and substantial recurring visit volume, requiring robust scheduling, documentation, and claims-processing capacity to support minute-based billing at scale. High claim volume paired with a $57 avg paid/claim underscores ongoing dependency on frequent, short-interval service delivery rather than lower-frequency, higher-intensity encounters.

From a comparative analytics and audit-signal perspective, the provider is a statistical outlier on its top code: S5125 is described as notably above typical state volume. That concentrated, outlier profile should be prioritized in peer comparisons, utilization management reviews, and any monitoring of Medicaid attendant-care program changes that could materially affect APC HOME HEALTH SERVICE’s revenue base.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	1,157,740	$60	$66M
T1005	Respite care services, up to 15 minutes	4,870	$50	$229K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Apc Home Health Service, Inc — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	23	1,680	50,290	$60	$9.5M
T1005	Respite care services, up to 15 minutes	353	560	8,490	$50	$842.3K

Nearby Providers

Other providers in the same ZIP code as Apc Home Health Service, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Antonio In Home Health Care	TX	In Home Supportive Care Agency	$0	$17M
Bncfranco, LLC	TX	Developmentally Disabled Services Day Training Agency	$0	$16.4M
Texas Kids Dental Care PA	TX	Dentist	$0	$12.9M
Jose Diaz Pagan	TX	Orthopaedic Surgery Physician	$29.2K	$0

Apc Home Health Service, Inc — Billing Profile & Reimbursement Data

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Apc Home Health Service, 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

Nearby Providers

Frequently Asked Questions

References