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

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

West-central Independent Living Solutions (NPI 1598819435)

Field	Value
Entity Type	Organization
Organization	West-central Independent Living Solutions
Address	612 N Ridgeview Dr
City	Warrensburg
State	MO
ZIP	64093
Taxonomy	Home Health Agency
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$50.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: it reports no Medicare billing on file and $50.9M in lifetime Medicaid revenue, indicating a single-payer footprint concentrated in state Medicaid programs. The NPI was enumerated on 2007-01-22 (~19 years ago), so the provider has an established presence while operating primarily in the Medicaid space.

Revenue is extremely concentrated in a single service line: the top three Medicaid codes account for 100.0% of the provider's Medicaid revenue, and T1019 alone represents $50.8M (99.7% of this provider's total Medicaid revenue). This indicates that nearly all Medicaid inflows are driven by minute-based personal care services rather than a diversified mix of procedure codes.

The code mix points to an operational focus on home- and community-based personal care services. T1019 (personal care services, per 15 minutes) is the dominant revenue driver and—by its description—reflects ongoing, hands-on personal care delivered under individualized plans of treatment rather than traditional home health aide tasks. This suggests the provider’s core business model centers on delivering high-volume personal care support in community settings.

The provider also bills for administrative and assessment functions at much smaller scale: T2040 (financial management, self-directed, waiver; per 15 minutes) generated $134.7K (0.3% of Medicaid revenue) and T1028 (assessment of home, physical and family environment) generated $22K (0.0% of Medicaid revenue). Both of these secondary codes are small contributors to total revenue and likely support self-directed waiver participants and intake/eligibility workflows rather than serving as material lines of business.

In state-level competitive terms the provider is an outlier on its core code: T1019 ranks #19 of 1332 providers in-state (99th percentile; extreme outlier), which signals exceptionally high volume and a dominant position for that specific personal care service relative to peers. That ranking supports characterizing the provider as a major statewide supplier of minute-based personal care services.

By contrast, the provider’s positions on the two secondary codes are unremarkable: T2040 ranks #7 of 19 providers in-state (67th percentile; typical, unremarkable volume) and T1028 ranks #38 of 88 providers in-state (57th percentile; typical, unremarkable volume). Those ranks indicate modest or average participation in financial-management and home-assessment activities compared with other in-state vendors.

The combination of long tenure (~19 years) and extreme revenue concentration in T1019 implies a mature but narrowly focused business model; this specialization likely yields operational expertise in Medicaid personal care delivery but also creates exposure to policy or rate changes affecting minute-based personal care payments. Analysts should view the provider as a high-volume Medicaid personal care contractor with limited Medicare footprint and relatively limited revenue diversification within Medicaid.

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 Code	Description	Claims	Avg Paid	Revenue
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…	781,370	$70	$50.8M
T2040	Financial management, self-directed, waiver; per 15 minutes	1,040	$130	$134.7K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	300	$70	$22K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

West-central Independent Living Solutions — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	19	1,330	6,550	$80	$4.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	7	20	850	$70	$250.4K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	38	90	150	$90	$164.6K

Nearby Providers

Other providers in the same ZIP code as West-central Independent Living Solutions, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Expanding Horizons Community Services LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$26.1M
Abilities LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23.9M
Western Missouri Medical Center	MO	General Acute Care Hospital	$0	$9.7M
Rise Community Services	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.8M
District Iii Area Agency On Aging	MO	Home Delivered Meals	$0	$7.1M
Johnson County Board Of Services	MO	Case Management Agency	$0	$5.8M
Johnson County Missouri Ambulance	MO	Land Ambulance	$738.6K	$4.5M
Novamed Surgery Center Of Warrensburg LLC	MO	Ambulatory Surgical Clinic/Center	$724.1K	$2.4K
Cedar Oaks Surgery Center LLC	MO	Ambulatory Surgical Clinic/Center	$266K	$0
Sridhar Thirumalai	MO	Internal Medicine Physician	$235K	$0

West-central Independent Living Solutions — Billing Profile & Reimbursement Data

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West-central Independent Living Solutions — 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