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.

Epic Health Services, Inc. (NPI 1578739769)

Field	Value
Entity Type	Organization
Organization	Epic Health Services, Inc.
Address	110 Cypress Station Dr Ste 270
City	Houston
State	TX
ZIP	77090
Taxonomy	Home Health Agency
NPI Enumerated	May 7, 2008

Payer Source	Total Paid
Medicaid	$85.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: total Medicaid revenue is $85.4M and there is no Medicare billing on file, so payer exposure is concentrated almost entirely on Medicaid. The absence of Medicare activity means benchmarking should be interpreted relative to in-state Medicaid peers rather than national Medicare patterns.

Revenue is extremely concentrated in a small set of services: the precomputed top-3 Medicaid codes by revenue account for 95.4% of the provider’s Medicaid take. In particular, T1000 represents $71.6M (83.8% of total Medicaid revenue), making it by far the primary revenue driver for the organization.

The code mix and descriptions indicate this is primarily a home-based nursing operation with important allied-therapy components. High-volume nursing codes (T1000 – private duty nursing and S9124 – nursing care by LPN) dominate revenue, while speech and therapy codes (92507, 97110, 97530) show the provider also delivers substantial in-home rehabilitative and speech services.

T1000 (153.3K claims, $467 avg paid/claim, $71.6M revenue) ranks #7 of 140 providers in-state (96th percentile), signaling a top-tier statewide position for private-duty nursing by rank; the dataset’s label for this code is "typical, unremarkable volume for this code," which suggests that while the provider is high-ranking, its billed volumes fall within the common range for active billers of T1000.

S9124 and 92507 show meaningful but more modest competitive positions: S9124 (13.2K claims, $439 avg paid/claim, $5.8M revenue) ranks #9 of 61 providers in-state (87th percentile) and is labeled "typical, unremarkable volume for this code," while 92507 (43.7K claims, $93 avg paid/claim, $4.1M revenue) ranks #67 of 1354 providers in-state (95th percentile) and is likewise labeled "typical, unremarkable volume for this code." These placements indicate solid presence in state-level nursing and speech therapy markets without atypical statistical deviation.

Claim throughput underscores the operational model: very high claim counts for T1000 (153.3K claims) and 92507 (43.7K claims) point to high-frequency, hands-on care delivery, whereas other lines like S9124 (13.2K claims) and therapy codes 97110 and 97530 (12.9K and 12.8K claims respectively) are significant but much smaller contributors by volume and revenue. The combination of high claim counts and relatively high avg paid/claim for nursing codes (e.g., $467 for T1000, $439 for S9124) reflects labor-intensive in-home services.

The provider shows longevity in the market: NPI enumerated on 2008-05-07 (~18 years ago), indicating an established presence in the Houston home health space that aligns with its large Medicaid revenue base. This tenure supports operational scale required to sustain the high volumes reported for core nursing services.

Beyond the top three codes, multiple therapy and support codes appear at modest revenue levels (examples: 97110 $1.5M, 97530 $1.5M, H2015 $528.2K, T1005 $392K), and most of these are ranked in mid-to-lower percentiles with labels such as "typical, unremarkable volume for this code." These smaller lines suggest a diversified service set but confirm that financial performance is overwhelmingly driven by the primary nursing codes.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	153,340	$470	$71.6M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	13,190	$440	$5.8M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	43,720	$90	$4.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	12,870	$110	$1.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	12,810	$110	$1.5M
H2015	Comprehensive community support services, per 15 minutes	2,270	$230	$528.2K
T1005	Respite care services, up to 15 minutes	1,900	$210	$392K
S9152	Speech therapy, re-evaluation	780	$110	$82.9K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	70	$110	$7.2K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	50	$110	$5.6K

Showing 1–10 of 11

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

Epic Health Services, Inc. — 2 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	7	140	29,740	$490	$24.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	9	60	2,200	$330	$2.5M
H2015	Comprehensive community support services, per 15 minutes	66	120	2,880	$100	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	67	1,350	1,860	$80	$872.4K
T1005	Respite care services, up to 15 minutes	441	560	8,490	$50	$842.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	142	1,620	1,070	$70	$333.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	82	1,320	1,070	$60	$211.1K
S9152	Speech therapy, re-evaluation	52	270	120	$110	$62.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	344	360	100	$140	$62K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	111	180	90	$90	$29.4K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Epic Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$75M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$67M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$62.7M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$47.5M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$44.2M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$41.9M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$34.3M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$34.3M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$30.1M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$30M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Houston Northwest Operating Company, LLC	TX	General Acute Care Hospital	$0	$18.4M
Spring Independent School District	TX	Local Education Agency (LEA)	$0	$12.2M
Rachel Marie Jelks	TX	Community/Behavioral Health Agency	$0	$11.2M
Elixir Diagnostics, LLC	TX	Clinical Medical Laboratory	$4.1M	$360
Olympia Jeffries	TX	Nurse Practitioner	$1.4M	$0
Northwest Surgery Center, Ltd	TX	Ambulatory Surgical Clinic/Center	$899.8K	$0
Kirk Kanady	TX	Radiation Oncology Physician	$603.6K	$0
Kozhaya Sokhon	TX	Cardiovascular Disease Physician	$397.7K	$0
Eric Kleinbaum	TX	Hematology & Oncology Physician	$391.1K	$0
Tri Nguyen	TX	Dermatology Physician	$366.7K	$0

Epic Health Services, Inc. — Billing Profile & Reimbursement Data

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Epic Health 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

Related Providers

Nearby Providers

Frequently Asked Questions

References