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.

First Primary Home Care, Inc (NPI 1578510137)

Field	Value
Entity Type	Organization
Organization	First Primary Home Care, Inc
Address	2809 S Expressway 83
City	Harlingen
State	TX
ZIP	78550
Taxonomy	Home Health Agency
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$161.5M
Medicare	$0

Key Findings

FIRST PRIMARY HOME CARE, INC shows an effectively single-payer billing footprint: there is no Medicare revenue on file while Medicaid revenue totals $161.5M, indicating the organization’s operations are overwhelmingly Medicaid-funded rather than split between Medicare and Medicaid. This concentration implies payer risk and operational planning will be driven by Medicaid policy and waiver program rules rather than Medicare reimbursement dynamics.

Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes (S5125, T2026, T1019) together account for 92.7% of the provider’s total Medicaid revenue. The single largest line is S5125 at $109.9M (68.0% of Medicaid revenue), followed by T2026 at $36.8M (22.8%) and T1019 at $2.9M (1.8%), meaning strategic and margin shifts in those codes would materially impact overall revenue.

The code mix indicates a service model centered on high-volume attendant and waiver-based care rather than skilled home health: S5125 (attendant care services; per 15 minutes), T2026 (specialized childcare, waiver; per diem), and T1019 (personal care services, per 15 minutes) dominate the revenue mix. Coupled with significant line items for respite (T1005) and habilitation (T2017), this suggests the provider operates large-scale personal- and custodial-care programs and participates actively in Medicaid waiver structures for specialized childcare and long-term services and supports.

FIRST PRIMARY is a dominant outlier in Texas for attendant-care volume: S5125 shows 2.1M claims, $53 avg paid/claim and ranks #9 of 1678 providers in-state (100th percentile; extreme outlier), which the data labels as “far above typical state volume for this code.” For T2026 the provider ranks #6 of 47 in-state (89th percentile), indicating it is also a leading regional participant for specialized childcare waiver services, though less extreme than its attendant-care position.

Operational scale is evident in the raw utilization figures: 2.1M claims for S5125 and 255.8K claims for T2026 signal a very large volume of per-15-minute attendant care encounters and per-diem specialized childcare placements, respectively, with average payments of $53 and $144 per claim as reported. These volumes imply substantial workforce management and scheduling logistics for frequent, short-interval services (S5125) and continuous placement management for per-diem waiver services (T2026).

Beyond the top three, the provider also reports notable volumes in respite and habilitation services, suggesting breadth in waiver and supportive-care offerings: T1005 has 62.8K claims ($46 avg paid/claim, $2.9M revenue) and ranks #20 of 564 providers in-state (97th percentile; notably above typical state volume), while T2017 accounts for $2.7M. This mix indicates FIRST PRIMARY operates not only routine attendant care but also higher-intensity or programmatic supports (respite, habilitation) that are important to Medicaid waiver populations.

The provider’s portfolio includes therapeutic and activity-based codes at more modest revenue levels—codes such as 97124 ($1.8M), G0100 ($1.6M), H2032 ($1.3M), and 97113 ($499.4K) appear on the top-25 list—showing they offer ancillary therapy, activity therapy, massage, and aquatic therapy services in addition to core attendant and waiver supports. These ancillary services represent diversification around the central home- and community-based care model rather than the primary revenue drivers.

FIRST PRIMARY appears to be an established local operator: the NPI enumerated on 2006-05-28 (~20 years ago), suggesting long tenure in the market. Combined with the extreme volume in S5125 and top-state rankings in several waiver-related codes, the provider’s historical presence likely underpins its large Medicaid footprint and competitive positioning in Texas waiver and attendant-care markets.

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	2,072,710	$50	$109.9M
T2026	Specialized childcare, waiver; per diem	255,780	$140	$36.8M
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…	89,080	$30	$2.9M
T1005	Respite care services, up to 15 minutes	62,830	$50	$2.9M
T2017	Habilitation, residential, waiver; 15 minutes	43,220	$60	$2.7M
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…	22,180	$80	$1.8M
G0100	N/A	30,700	$50	$1.6M
H2032	Activity therapy, per 15 minutes	6,050	$210	$1.3M
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	5,150	$100	$499.4K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	5,470	$80	$437.6K

Showing 1–10 of 17

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

First Primary Home Care, Inc — 2 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2026	Specialized childcare, waiver; per diem	6	50	33,380	$180	$17.4M
S5125	Attendant care services; per 15 minutes	9	1,680	50,290	$60	$9.5M
T2017	Habilitation, residential, waiver; 15 minutes	11	60	19,340	$80	$3M
H2032	Activity therapy, per 15 minutes	18	50	3,520	$170	$2.6M
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…	8	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…	186	1,050	23,280	$30	$1.8M
T2029	Specialized medical equipment, not otherwise specified, waiver	8	10	470	$330	$1.7M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	8	30	2,990	$90	$1.2M
G0100	N/A	6	30	7,330	$70	$1.2M
T1005	Respite care services, up to 15 minutes	20	560	8,490	$50	$842.3K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Texas Visiting Nurse Service, Ltd.	TX	Home Health Agency	$0	$138.2M
Agua Cristalina Home Care, LLC	TX	Home Health Agency	$0	$108.1M
Apc Home Health Service, Inc.	TX	Home Health Agency	$0	$97.1M
Mizpah Residential Care. Inc.	TX	Home Health Agency	$0	$45.5M
Su Clinica Familiar	TX	Federally Qualified Health Center (FQHC)	$0	$37.6M
Vicki Roy Home Health Service, LP	TX	Home Health Agency	$0	$29.5M
Nuevo Destino Primary Home Care LLC	TX	Personal Care Attendant	$0	$26.6M
Santa Cruz Health Services, Inc	TX	Home Health Agency	$0	$23.8M
Vhs Harlingen Hospital Company LLC	TX	General Acute Care Hospital	$0	$23.6M
All Texas Health Care, Inc.	TX	Personal Care Attendant	$0	$17.7M

First Primary Home Care, 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