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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Addus Healthcare, Inc. (NPI 1588085633)

Field	Value
Entity Type	Organization
Organization	Addus Healthcare, Inc.
Address	3870 Foothills Rd
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	December 16, 2013

Payer Source	Total Paid
Medicaid	$81.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer at the present time: there is no Medicare billing on file while lifetime Medicaid revenue is reported at $81.1M, indicating the organization’s operations and revenue are overwhelmingly Medicaid-dependent. Analysts should treat Medicaid reimbursement policy and state program changes as the primary financial levers for this entity.

Revenue is highly concentrated in a very small set of services: the top three Medicaid codes (99509, T1019, G9006) together account for 99.4% of the provider’s total Medicaid revenue. Those three codes alone generate $43.1M (99509), $31.2M (T1019), and $6.3M (G9006) respectively, which leaves only a small residual base for all other billed services.

The code mix signals a core business model built around in‑home supportive care and personal assistance rather than skilled nursing: 99509 corresponds to ADL/self‑care home visits, T1019 is personal care services billed per 15 minutes, and G9006 is a coordinated care fee for home monitoring. Together these codes indicate the provider operates a high‑volume personal care/home support program with an embedded remote monitoring/coordinated care component.

Scale of delivery is substantial: T1019 shows 503.4K claims at an average paid value of $62 per claim, while 99509 accounts for 129.4K claims at an average paid value of $333 per claim; G9006 has 37.1K claims at $171 average paid/claim. These claim volumes and payment levels illustrate the provider’s reliance on high‑frequency, lower‑unit services (T1019) alongside fewer, higher‑unit ADL visits (99509) and a moderate volume of coordinated care fees.

Relative to in‑state peers, the provider is a prominent participant in its core service lines: T1019 ranks #5 of 89 providers in the state (95th percentile) and G9006 ranks #4 of 79 providers (96th percentile), while 99509 ranks #9 of 82 providers (90th percentile). The percentile ranks and counts characterize the provider as a major statewide operator for personal care and home monitoring services, and a strong regional player for ADL visit services.

Operational concentration creates exposure to policy or reimbursement shifts because 99.4% of Medicaid revenue is tied to three codes; any rate adjustments, eligibility rule changes, or auditing focus on these specific services could disproportionately affect overall revenue. From a payer oversight or contracting perspective, the narrow revenue base makes it straightforward to model financial impact from code‑level changes, but also amplifies business risk.

Although small in revenue share, the provider reports S5110 (home care family training) with $463.2K in revenue (0.6% of Medicaid revenue) and ranks #2 of 36 providers in‑state (97th percentile). This suggests the organization has a comparatively strong presence in structured family training services even though it contributes only a minor portion of total Medicaid revenue.

The provider’s NPI was enumerated on 2013-12-16 (~13 years ago), indicating over a decade of enrollment in federal provider systems; combined with the large Medicaid claim volumes, this tenure supports an assessment of an established, operationally mature in‑home supportive care organization within New Mexico.

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
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	129,420	$330	$43.1M
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…	503,350	$60	$31.2M
G9006	Coordinated care fee, home monitoring	37,060	$170	$6.3M
S5110	Home care training, family; per 15 minutes	4,370	$110	$463.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Addus Healthcare, Inc. — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	9	80	20,990	$310	$16.4M
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…	5	90	92,900	$70	$13.3M
G9006	Coordinated care fee, home monitoring	4	80	3,840	$190	$2M
S5110	Home care training, family; per 15 minutes	2	40	340	$200	$202.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Addus Healthcare, Inc.	MI	In Home Supportive Care Agency	$0	$18.5M
Addus Healthcare, Inc.	NM	Home Health Agency	$0	$10.5M
Addus Healthcare, Inc.	AZ	In Home Supportive Care Agency	$0	$9.2M
Priority Home Health Care, Inc	OH	Home Health Agency	$0	$9.1M
Addus Healthcare Inc	DE	Home Health Agency	$0	$349.1K

Nearby Providers

Other providers in the same ZIP code as Addus Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Shadows Home Care Services, Inc	NM	Home Health Agency	$0	$92.9M
Las Cruces Medical Center LLC	NM	General Acute Care Hospital	$0	$86.8M
Phc-las Cruces Inc	NM	General Acute Care Hospital	$0	$64.8M
Las Cruces Physician Services LLC	NM	Orthopaedic Surgery Physician	$0	$62.9M
Multicultural Evaluation & Consultation Associates LLC	NM	Early Intervention Provider Agency	$0	$59.3M
Quality Life Services, LLC	NM	Specialist	$0	$44.9M
Las Cruces Physician Practices, LLC	NM	Family Medicine Physician	$0	$22.8M
Southwest Emergency Medical Associates Of Nm PC	NM	Emergency Medicine Physician	$0	$20.3M
Milagro De Vida Community Services LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.2M
Joseph B. Furlong, P.A.	NM	Specialist	$0	$14.4M

Addus Healthcare, Inc. — Billing Profile & Reimbursement Data

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Addus Healthcare, 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