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.

Perrylee Home Health Care Services, Inc (NPI 1568591725)

Field	Value
Entity Type	Organization
Organization	Perrylee Home Health Care Services, Inc
Address	2227 S Main St
City	Stafford
State	TX
ZIP	77477
Taxonomy	Home Health Agency
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicaid	$77.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scale: there is no Medicare billing on file while lifetime Medicaid revenue totals $77.3M, indicating the organization’s operations and revenue are overwhelmingly driven by state Medicaid waiver and personal care programs rather than Medicare fee‑for‑service. Analysts should treat PERRYLEE HOME HEALTH CARE SERVICES, INC as a Medicaid‑focused entity when evaluating contract leverage or utilization patterns.

Revenue concentration is high: the provider’s top three Medicaid codes — T2026 ($18M, 23.3%), T2016 ($12.6M, 16.3%) and S5125 ($12.4M, 16.1%) — together account for 55.7% of total Medicaid revenue. That level of concentration around a small set of waiver and attendant‑care codes means payers or auditors focusing on a few service lines could cover the majority of the provider’s Medicaid spend.

The code mix implies a labor‑ and residence‑centric service model: large volumes in T2026 (T2026 – Specialized childcare, waiver; per diem), T2016 (Habilitation, residential, waiver; per diem) and S5125 (Attendant care services; per 15 minutes) point to residential habilitation, specialized childcare under waiver programs, and high‑minute attendant care as core service lines. The presence of significant per‑diem and per‑15‑minute billing suggests ongoing, hands‑on care rather than episodic clinical procedures.

While several high‑revenue codes are described as "typical, unremarkable volume for this code," competitive standing varies by service line. T2016 ranks #17 of 109 providers in‑state (85th percentile) and S5125 ranks #504 of 1678 (70th percentile), indicating the provider is a strong regional player in residential habilitation and an above‑median participant in attendant care, whereas T2026 ranks #28 of 47 (41st percentile), reflecting more modest statewide share in specialized childcare.

T1013 (Sign language or oral interpretive services, per 15 minutes) is a notable specialty line: it produced $11.5M (14.9% of Medicaid revenue) on 8.7K claims with an average paid/claim of $1315 and ranks #2 of 26 providers in‑state (96th percentile). Despite the dataset label of "typical, unremarkable volume for this code," the combination of high average payment per claim and a #2 rank indicates the provider is a major state supplier of sign‑language interpretive services by revenue.

Case management (T2022 – Case management, per month) is a statistically stronger outlier for this provider: it generated $5.5M (7.1% of Medicaid revenue) on 30.4K claims, and the code is explicitly labeled "notably above typical state volume for this code" with a rank of #6 of 50 providers (90th percentile). This suggests an elevated role in ongoing care coordination relative to peers and highlights case management as an important contributor to the provider’s Medicaid footprint.

Unit economics and payment mix are skewed toward higher per‑unit reimbursements on select lines: T2026 average paid/claim is $978 and T1013 average paid/claim is $1315, while many attendant and habilitation units are billed on per‑15‑minute increments (S5125 avg paid/claim $99, T2017 avg paid/claim $72). Payers should note the combination of high per‑diem rates and high‑minute billing when modeling costs or negotiating rates for waiver and residential habilitation services.

PERRYLEE has an established operating history, with its NPI enumerated on 2007‑03‑05 (~19 years ago), which supports interpreting these patterns as stable‑state business lines rather than a short‑term billing spike. Given the longevity plus the concentrated Medicaid revenue base, payers and network managers should prioritize review and contract oversight around waiver residential habilitation, attendant care, case management, and interpretive services to understand utilization drivers and quality oversight needs.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2026	Specialized childcare, waiver; per diem	18,390	$980	$18M
T2016	Habilitation, residential, waiver; per diem	22,280	$570	$12.6M
S5125	Attendant care services; per 15 minutes	125,650	$100	$12.4M
T1013	Sign language or oral interpretive services, per 15 minutes	8,730	$1,320	$11.5M
T2022	Case management, per month	30,440	$180	$5.5M
H2032	Activity therapy, per 15 minutes	4,930	$590	$2.9M
T2017	Habilitation, residential, waiver; 15 minutes	29,930	$70	$2.2M
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…	29,410	$70	$2.1M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	4,810	$400	$1.9M
S9125	Respite care, in the home, per diem	9,880	$130	$1.2M

Showing 1–10 of 23

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

Perrylee Home Health Care Services, Inc — 1 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2026	Specialized childcare, waiver; per diem	28	50	33,380	$180	$17.4M
S5125	Attendant care services; per 15 minutes	504	1,680	50,290	$60	$9.5M
T2016	Habilitation, residential, waiver; per diem	17	110	6,810	$200	$8.1M
S9125	Respite care, in the home, per diem	9	20	18,690	$100	$3.5M
T2017	Habilitation, residential, waiver; 15 minutes	17	60	19,340	$80	$3M
H2032	Activity therapy, per 15 minutes	20	50	3,520	$170	$2.6M
G0226	N/A	6	10	2,550	$200	$2.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	16	40	4,490	$30	$2.5M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	18	40	3,120	$100	$2.3M
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…	455	1,050	23,280	$30	$1.8M

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Choice Childrens Homecare LP	TX	Home Health Agency	$0	$37.6M
Ventex Home Health Agency Inc.	TX	Home Health Agency	$0	$31.7M
Triple O Health Services Inc	TX	Home Health Agency	$0	$27.7M
Well Health Labs, LLC	TX	Clinical Medical Laboratory	$558.5K	$954.4K
Onpoint Lab, LLC	TX	Clinical Medical Laboratory	$521.2K	$360.1K

Perrylee Home Health Care Services, Inc — Billing Profile & Reimbursement Data

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Perrylee Home Health Care Services, 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