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

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

Advocate Care Services, Inc. (NPI 1568633386)

Field	Value
Entity Type	Organization
Organization	Advocate Care Services, Inc.
Address	520 Oakwood St
City	Rose Hill
State	KS
ZIP	67133
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 19, 2008

Payer Source	Total Paid
Medicaid	$51.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer at scale: Total Medicare revenue is none (no Medicare billing on file), while Total Medicaid revenue is $51.7M, indicating Medicaid is the sole material payer driving the organization’s billed activity. The absence of Medicare claims on file makes Medicaid policy and waiver program changes the primary external risk and opportunity levers for the business.

Revenue is highly concentrated in a single service line: the precomputed top three Medicaid codes account for 99.9% of this provider’s Medicaid revenue, and T1019 alone represents $47M (91.0% of Medicaid revenue). That concentration means the provider’s financial performance is heavily dependent on reimbursement and utilization patterns for T1019.

The code mix points to a community‑based personal care operator model: T1019 (452.3K claims, $104 avg paid/claim, $47M revenue) is a per‑15‑minute personal care services code used outside institutional settings, which implies the organization primarily delivers large volumes of personal support/attendant care in home or community settings rather than medical or facility‑based services. The presence of T2040 (financial management for self‑directed waiver) and T2025 (waiver services, NOS) further indicates engagement with waiver programs and participant‑directed service structures.

T2040 (25.9K claims, $140 avg paid/claim, $3.6M revenue; 7.0% of Medicaid revenue) and T2025 (9.3K claims, $107 avg paid/claim, $998K revenue; 1.9% of Medicaid revenue) together make up the small remainder of revenue and reflect administrative or waiver support services that complement the large personal care footprint. These codes suggest the provider offers both direct personal care and support for self‑directed waiver participants, but at materially lower volume and revenue compared with T1019.

Competitive standing for the dominant code is strong in‑state: T1019 ranks #3 of 55 providers in Kansas and sits in the 96th percentile, described as notably above typical state volume for this code. That ranking indicates ADVOCATE CARE SERVICES, INC. is a leading in‑state provider of personal care services by volume and revenue for T1019.

By contrast, the provider’s position on supporting/ancillary waiver codes is modest to limited: T2040 ranks #9 of 19 (56th percentile) and is characterized as typical, unremarkable volume, while T2025 ranks #25 of 28 (11th percentile) and is also described as typical, unremarkable volume. H0045 (respite care, per diem) appears only at 327 claims and $29.1K revenue (0.1% of Medicaid revenue) and ranks #3 of 3 in‑state (0th percentile), indicating negligible scale in respite service delivery.

The organization has an established operating history: NPI enumerated 2008-03-19 (~18 years ago), which suggests long tenure in the Medicaid market and potential institutional experience with state waiver administration and personal care delivery. That tenure may have supported the development of the high volume and market share observed for T1019.

Given the extreme revenue concentration (99.9% from the top three codes, with 91.0% from T1019), the provider’s business risk profile is concentrated: changes in T1019 reimbursement rules, eligibility, or utilization trends would disproportionately affect total revenue. Operationally, the profile indicates a need to monitor waiver program policy and personal care funding dynamics since these areas will drive most of the organization’s financial variability.

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
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…	452,260	$100	$47M
T2040	Financial management, self-directed, waiver; per 15 minutes	25,920	$140	$3.6M
T2025	Waiver services; not otherwise specified (nos)	9,330	$110	$998K
H0045	Respite care services, not in the home, per diem	330	$90	$29.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Advocate Care Services, Inc. — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

4 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…	3	60	21,510	$90	$8.5M
T2025	Waiver services; not otherwise specified (nos)	25	30	44,470	$90	$7.2M
T2040	Financial management, self-directed, waiver; per 15 minutes	9	20	25,600	$130	$5.2M
H0045	Respite care services, not in the home, per diem	3	10	5,590	$100	$533.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fountainview Living, LLC	KS	Skilled Nursing Facility	$0	$642.6K
Marty Turner	KS	Family Medicine Physician	$155.2K	$0
Douglas Schoenhofer	KS	Chiropractor	$56.8K	$0

Advocate Care Services, Inc. — Billing Profile & Reimbursement Data

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Advocate 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