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    OpenPayerNPI Medicare & MedicaidComfort LLC
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    Comfort LLC — Billing Profile & Reimbursement Data

    NPI 1578843264 · Johnston, RI · Home Health Agency

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    Comfort LLC is a home health agency provider located in Johnston, Rhode Island. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationComfort LLC
    Address165 Dyerville Ave
    CityJohnston
    StateRI
    ZIP02919
    TaxonomyHome Health Agency
    NPI EnumeratedAugust 25, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$18.7M
    Medicare$0

    Key Findings

    COMFORT LLC is effectively a single-payer Medicaid-focused home health agency: there is no Medicare billing on file and total Medicaid revenue is $18.7M, indicating the organization’s clinical and billing operations are concentrated entirely in the Medicaid program rather than split across Medicare and Medicaid. This makes its financial performance and payer risk profile dependent on state Medicaid policy and reimbursement.

    Revenue concentration is high and extremely focused in a small set of service codes: the top three Medicaid codes together account for 100.0% of the provider’s Medicaid revenue, with S5130 and S5125 alone representing the overwhelming majority. This suggests most of the agency’s billing activity is concentrated in a narrow set of routine home- and attendant-care services.

    The largest single revenue driver is S5130 (Homemaker service, per 15 minutes), which generated $10.1M and represents 54.1% of the provider’s Medicaid revenue. COMFORT LLC ranks #5 of 34 in-state for S5130 (88th percentile), a position that indicates it is a meaningful regional provider of homemaker services but not the dominant in-state leader.

    S5125 (Attendant care services, per 15 minutes) is the second-largest code at $8.3M and accounts for 44.2% of Medicaid revenue; the provider ranks #20 of 83 in-state (77th percentile). This ranking signals substantial volume on attendant care relative to peers but again reflects a role as a solid midsize participant rather than a top statewide outlier.

    The third Medicaid code, T1001 (Nursing assessment / evaluation), is a much smaller contributor at $318.4K (1.7% of Medicaid revenue) and ranks #10 of 42 providers in-state (78th percentile). Its smaller revenue share paired with a mid-ranked position suggests nursing assessments are provided to support the higher-volume personal-care services rather than being a separate major revenue line.

    COMFORT LLC has been NPI enumerated since 2011-08-25 (~15 years ago), indicating sustained operational tenure. That length of registration supports the interpretation that the current Medicaid-focused service mix reflects an established business model rather than a new or transient billing pattern.

    Given the code mix and revenue shares, the agency’s business/service-line profile is operationally centered on home- and attendant-care delivered in short, repeatable time increments (15-minute units). The dominance of S5130 and S5125 implies the organization likely manages high-volume, long-duration personal care relationships rather than episodic medical procedures or complex skilled nursing episodes.

    From a competitive-stance perspective, COMFORT LLC is a notable in-state provider for homemaker and attendant-care services—ranking in the upper quartile for both S5130 and S5125—yet its position (#5 and #20 respectively) and the absence of Medicare billing suggest it competes primarily within the Medicaid market and does not have a broad payer diversification that larger multi-payor agencies might have.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5130Homemaker service, nos; per 15 minutes53,450$190$10.1M
    S5125Attendant care services; per 15 minutes56,920$150$8.3M
    T1001Nursing assessment / evaluation3,000$110$318.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes208013,620$120$7.8M
    S5130Homemaker service, nos; per 15 minutes53010,010$100$1.9M
    T1001Nursing assessment / evaluation1040460$100$164.4K

    Nearby Providers

    Other providers in the same ZIP code as Comfort LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Journey To Hope, Health & Healing, IncRIMethadone Clinic$0$16.8M
    Tri-county Community Action AgencyRIFederally Qualified Health Center (FQHC)$0$7.4M
    Absolute Respiratory Care LLCRIOxygen Equipment & Supplies (DME)$0$6.4M
    Ocean State Behavioral Health, LLCRISubstance Use Disorder Rehabilitation Clinic/Center$0$5.6M
    Fredrick McmillenRIOrthodontics and Dentofacial Orthopedics Dentistry$0$4.9M
    Svetlo IncRIAdult Day Care Clinic/Center$0$4.8M
    Maulik KotdawalaRIGeneral Practice Dentistry$0$4.6M
    Barrett NordstromRIOrthodontics and Dentofacial Orthopedics Dentistry$0$3.9M
    Atmed Treatment Center, Inc.RIInternal Medicine Physician$0$3.1M
    The Autism ProjectRIVoluntary or Charitable Agency$0$3.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Rhode Island Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Comfort LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island