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

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

Red Rock Healthcare, Inc. (NPI 1588930705)

Field	Value
Entity Type	Organization
Organization	Red Rock Healthcare, Inc.
Address	1173 S 250 W Ste 401
City	St George
State	UT
ZIP	84770
Taxonomy	Home Health Agency
NPI Enumerated	April 2, 2012

Payer Source	Total Paid
Medicaid	$27.3M
Medicare	$0

Key Findings

RED ROCK HEALTHCARE, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $27.3M, indicating the organization’s entire reported federal payer revenue stream is driven by Medicaid. This concentration means payer exposure and growth will be tightly linked to Medicaid policy and reimbursement trends rather than Medicare dynamics.

Revenue is highly concentrated in a small set of home-health codes: the precomputed top 3 codes account for 77.3% of the provider’s Medicaid revenue, led by T1030 at $9.9M (36.3%), followed by T1021 at $8.7M (31.9%), and T1003 at $2.5M (9.1%). Those three codes together make up the bulk of cashflow and define the core service lines generating revenue.

The code mix signals a primarily in-home skilled nursing and personal-care operation: T1030 (nursing care in the home, RN per diem), T1021 (home health aide/CNA per visit), and T1003 (LPN/LVN up to 15 minutes) dominate revenue, and claim volumes (13.1K for T1030, 48.9K for T1021, 3.3K for T1003) point to a high-volume visit and per‑diem model focused on direct patient care in the home. The presence of both per‑diem nursing codes and per‑visit aide codes suggests RED ROCK staffs a mix of licensed nurses and aides to meet recurring in-home care needs.

Competitive standing across in-state peers is mixed: RED ROCK is a clear statewide leader on T1030, ranking #1 of 14 providers and in the 100th percentile with a descriptor of notably above typical state volume for that code, which indicates dominance in RN per‑diem nursing services. For T1021 and T1003 the provider ranks #7 of 41 (85th percentile) and #2 of 6 (80th percentile) respectively, characterizing those lines as high-volume but within a more typical range relative to other in‑state suppliers.

Operational throughput appears substantial: the provider reported 48.9K claims for T1021 and 31.9K claims for S9122 (home health aide per hour), generating $8.7M and $1.6M respectively, which reflects large-scale delivery of personal care services and a capacity to manage extensive visit-based operations across aides and nursing staff. These high claim counts underscore a labor‑intensive business model where staffing and visit scheduling are likely central operational levers.

The revenue mix creates concentration risk because a small number of codes drive the majority of Medicaid payments; relying on T1030, T1021, and T1003 for 77.3% of Medicaid revenue exposes the provider to utilization or reimbursement shifts in those specific service lines. Given there is no Medicare revenue to diversify payer mix, any state-level Medicaid policy change affecting these codes could materially impact overall revenue.

Several billed codes generate little or no Medicaid revenue despite appearing on claims: Q5001, G0152, and G0157 show $0 avg paid/claim and negligible revenue, while G0151 reports only $2.2K. This pattern indicates that ancillary therapy or hospice-related claim activity is present but not a material contributor to the provider’s Medicaid revenue base.

The provider’s NPI was enumerated on 2012-04-02 (~14 years ago), indicating a multi-year presence in the market; coupled with $27.3M in Medicaid revenue and a #1 statewide rank on T1030, this tenure suggests an established Massachusetts (Utah) home‑health operator with sustained focus on Medicaid-funded in‑home nursing and aide services.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1030	Nursing care, in the home, by registered nurse, per diem	13,130	$750	$9.9M
T1021	Home health aide or certified nurse assistant, per visit	48,850	$180	$8.7M
T1003	Lpn/lvn services, up to 15 minutes	3,280	$760	$2.5M
T1001	Nursing assessment / evaluation	3,940	$550	$2.2M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	31,940	$50	$1.6M
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…	5,910	$200	$1.2M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	1,120	$510	$568.9K
S9131	Physical therapy; in the home, per diem	2,650	$200	$518.4K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	7,660	$20	$168.5K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	2,170	$1	$2.2K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Red Rock Healthcare, Inc. — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1021	Home health aide or certified nurse assistant, per visit	7	40	10,290	$60	$1.7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	3	10	5,040	$80	$1.7M
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…	17	30	6,130	$110	$1.1M
T1030	Nursing care, in the home, by registered nurse, per diem	1	10	960	$320	$857.8K
T1003	Lpn/lvn services, up to 15 minutes	2	10	720	$530	$812.7K
T1001	Nursing assessment / evaluation	14	70	700	$80	$603.4K
S9131	Physical therapy; in the home, per diem	6	20	1,510	$80	$403.1K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	12	50	2,960	$20	$130.6K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	2	10	300	$180	$125.8K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	10	30	680	$1	$1.8K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Red Rock Healthcare, Inc.	UT	Community Based Hospice Care Agency	$0	$2.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Logistics, LLC.	UT	Transportation Broker	$0	$299.6M
Southwest Center	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$58.3M
Virgin River Healthcare, Inc.	UT	In Home Supportive Care Agency	$0	$13.3M
Crimson Heights LLC	UT	Community/Behavioral Health Agency	$0	$7.8M
Southwest Center	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.7M
Crimson Heights LLC	UT	Behavior Analyst	$0	$6.8M
Washington County School District	UT	Local Education Agency (LEA)	$0	$6.8M
Red Mesa Home Care	UT	Home Health Agency	$0	$4M
The Learning Center For Families	UT	Developmentally Disabled Services Day Training Agency	$0	$3.9M
Vive Care	UT	Psychiatric Hospital	$0	$3.1M

Red Rock Healthcare, Inc. — Billing Profile & Reimbursement Data

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Red Rock 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