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.

Midwest Home Health Care, Inc. (NPI 1558588186)

Field	Value
Entity Type	Organization
Organization	Midwest Home Health Care, Inc.
Address	9012 N Glenwood Ave
City	Kansas City
State	MO
ZIP	64157
Taxonomy	Home Health Agency
NPI Enumerated	April 18, 2007

Payer Source	Total Paid
Medicaid	$72M
Medicare	$0

Key Findings

MIDWEST HOME HEALTH CARE, INC. is registered as a Home Health Agency and has an NPI enumerated on 2007-04-18 (~19 years ago), indicating long-standing participation in public programs. The provider is based in KANSAS CITY, MO and shows a sustained operational tenure that supports a mature Medicaid billing footprint.

This provider effectively operates as a single-payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is reported as $72M. The absence of Medicare revenue means payer mix is concentrated entirely in Medicaid for the time period covered.

Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. Within that concentration, one code in particular dominates the book of business, creating significant revenue dependence on a narrow set of service lines.

T1019 is the primary revenue driver for this agency, generating $70.5M (97.9% of the provider's total Medicaid revenue) from 1.1M claims at an average paid amount of $64 per claim. This code’s description (personal care services, per 15 minutes, as part of an individualized plan of treatment) implies the operation delivers very high-volume, minute-level personal care visits in community settings rather than facility-based skilled nursing care.

The provider’s activity in T1019 is a statewide outlier: it ranks #11 of 1332 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). That ranking indicates MIDWEST HOME HEALTH CARE is a dominant in-state provider for this specific personal-care service line by volume and revenue.

T1001 (Nursing assessment / evaluation) accounts for $1.5M of Medicaid revenue (2.1% of the provider's total Medicaid revenue) from 33.1K claims at an average paid amount of $45 per claim. While the provider ranks #19 of 417 in-state for T1001 (96th percentile), the characterization provided notes this is a typical, unremarkable volume for that code, suggesting assessments are a secondary but expected component of the care model rather than the primary revenue source.

Operational implications: the combination of minute-based personal care billing (T1019) plus nursing assessments (T1001) points to a model centered on high-frequency personal care visits supported by periodic nursing evaluation. Staffing, scheduling, and documentation processes are likely optimized for extensive personal-care visit volumes and precise time-based billing.

Risk and business considerations: dependence on one dominant Medicaid code (T1019 at $70.5M) creates revenue concentration risk and makes the provider sensitive to policy, rate, or utilization changes affecting minute-level personal care services. From a competitive perspective, the provider’s extreme outlier status for T1019 establishes market leadership for that service in Missouri but also underscores limited diversification across other Medicaid service codes.

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
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…	1,101,230	$60	$70.5M
T1001	Nursing assessment / evaluation	33,100	$50	$1.5M

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

Midwest Home Health Care, Inc. — 2 of 2 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

2 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…	11	1,330	6,550	$80	$4.6M
T1001	Nursing assessment / evaluation	19	420	1,610	$50	$378.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Anderson	MO	Vascular Surgery Physician	$84.4K	$0
Rachael Shepard	MO	Certified Registered Nurse Anesthetist	$34K	$0

Midwest Home Health Care, Inc. — Billing Profile & Reimbursement Data

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Midwest Home Health Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Midwest Home Health Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References