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.

Estrella Phc Services (NPI 1598908196)

Field	Value
Entity Type	Organization
Organization	Estrella Phc Services
Address	7028 N 5th St
City	Mcallen
State	TX
ZIP	78504
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	April 13, 2009

Payer Source	Total Paid
Medicaid	$24M
Medicare	$0

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
S5125	Attendant care services; per 15 minutes	402,100	$50	$21.7M
T1005	Respite care services, up to 15 minutes	34,740	$50	$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…	19,250	$30	$500.4K

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

Estrella Phc Services — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	159	1,680	50,290	$60	$9.5M
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…	581	1,050	23,280	$30	$1.8M
T1005	Respite care services, up to 15 minutes	68	560	8,490	$50	$842.3K

Nearby Providers

Other providers in the same ZIP code as Estrella Phc Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alegria Primary Home Care, Inc.	TX	Personal Care Attendant	$0	$96.8M
Rio Grande Valley Phc/cba, LLC	TX	Personal Care Attendant	$0	$64.8M
Apex Primary Care Inc	TX	Home Health Agency	$0	$61.2M
Sarojini Bose Md PA	TX	Pediatrics Physician	$0	$39.4M
Pediatric Services Of America, LLC	TX	Nursing Care Agency	$0	$31.3M
Prosperity Health Care, LLC	TX	Home Health Agency	$0	$18M
4 Genesis Primary Home Care, LLC	TX	Personal Care Attendant	$0	$16.5M
Abundant Health Care Inc	TX	Home Health Agency	$0	$16M
All Children's Pediatric Clinic P.A.	TX	Pediatrics Physician	$0	$16M
Wings Home Health Services, LLC	TX	Home Health Agency	$0	$15.6M

Estrella Phc Services — Billing Profile & Reimbursement Data

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Estrella Phc Services — Billing Profile & Reimbursement Data

Sign up for Estrella Phc Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References