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.

Mountain Shadows Home Care Services, Inc (NPI 1619011889)

Field	Value
Entity Type	Organization
Organization	Mountain Shadows Home Care Services, Inc
Address	800 N Telshor Blvd
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	Home Health Agency
NPI Enumerated	February 19, 2007

Payer Source	Total Paid
Medicaid	$92.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused home health agency: there is no Medicare billing on file and lifetime Medicaid revenue is $92.9M, indicating a near-exclusive dependence on state Medicaid business rather than a mixed Medicare/Medicaid payer mix. Analysts should treat this profile as single-payer–dominated when modeling revenue sensitivity to Medicaid rate or policy changes.

Revenue concentration is highly focused: the precomputed top-3 Medicaid codes account for 85.8% of this provider's total Medicaid revenue, with 99509 generating $37.7M (40.6%), T1019 generating $22.2M (23.8%), and S5125 generating $19.9M (21.4%). This concentration suggests that a small set of hands-on personal and attendant care services drive the bulk of the business.

The mix of top codes points to an operation organized around hands-on personal care and attendant services plus episodic nursing visits: 99509 (RN or non-nursing practitioner visits to help with ADLs), T1019 (personal care services, per 15 minutes), and S5125 (attendant care services, per 15 minutes) are the three largest revenue drivers by far. High claim volumes for time-based personal care codes (99509: 159.8K claims; T1019: 325.9K claims; S5125: 287.8K claims) indicate an hours-driven service model with extensive hands-on caregiver time billed in short increments.

Competitive standing within New Mexico is mixed by code: the provider is a statewide leader for attendant care (S5125 ranks #1 of 45 providers, 100th percentile and labeled an "extreme outlier"), and also ranks #1 of 17 providers for S9123 (nursing care in the home, 100th percentile, "notably above typical"). For 99509 (RN/non-nursing visits) the provider ranks #6 of 82 (94th percentile) and for T1019 it ranks #14 of 89 (85th percentile), both described as typical, unremarkable volumes despite being large contributors to revenue.

Beyond the three revenue leaders, the provider shows capabilities in coordinated care and higher-acuity nursing: G9006 (coordinated care fee, home monitoring) contributes $5M (5.3% of Medicaid revenue) and ranks #6 of 79 (94th percentile), while T1000 (private duty nursing up to 15 minutes) produces $2.4M (2.6%) with a high average paid/claim of $350 and ranks #3 of 5, indicating a small but higher-unit-value private-duty nursing line. These secondary lines suggest the agency offers both remote care coordination and selective higher-acuity nursing services in addition to core attendant/personal care.

The provider’s operational concentration on time-based, per-15-minute codes (T1019, S5125, and several RN 15-minute codes like T1002 and T1000) implies a business model reliant on large volumes of short-interval visits and significant caregiver staffing. That model creates exposure to staffing costs and to any Medicaid rate changes for per-15-minute codes because those codes make up the majority of billed volume and revenue.

Tenure and market presence are established: the NPI was enumerated 2007-02-19 (~19 years ago), indicating long-standing operation in the state Medicaid market. Combined with the provider’s top-state rankings on key codes, tenure supports the interpretation of an entrenched provider that captures a substantial share of attendant/home care volume in its service area.

The heavy reliance on a narrow set of services creates concentration risk: because 85.8% of Medicaid revenue is tied to three codes, any state-level policy, audit focus, or rate adjustment targeting those services—particularly attendant care (S5125) and per-15-minute personal care (T1019)—would disproportionately affect the provider’s revenue. Analysts should flag this provider for scenario stress-testing centered on policy or reimbursement changes affecting those specific codes.

Medicaid: Complete Services Breakdown

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

9 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.	159,760	$240	$37.7M
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…	325,930	$70	$22.2M
S5125	Attendant care services; per 15 minutes	287,780	$70	$19.9M
G9006	Coordinated care fee, home monitoring	31,250	$160	$5M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	6,820	$350	$2.4M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	19,340	$110	$2.2M
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)	8,200	$230	$1.8M
T1002	Rn services, up to 15 minutes	6,050	$270	$1.6M
S5110	Home care training, family; per 15 minutes	1,510	$120	$176.8K

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

Mountain Shadows Home Care Services, Inc — 2 of 9 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

9 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.	6	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…	14	90	92,900	$70	$13.3M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	3	10	6,820	$540	$6.3M
S5125	Attendant care services; per 15 minutes	1	50	10,600	$100	$4.3M
G9006	Coordinated care fee, home monitoring	6	80	3,840	$190	$2M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	3	10	18,020	$130	$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	20	450	$260	$400.2K
T1002	Rn services, up to 15 minutes	6	40	1,350	$150	$368.7K
S5110	Home care training, family; per 15 minutes	5	40	340	$200	$202.4K

Nearby Providers

Other providers in the same ZIP code as Mountain Shadows Home Care Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Las Cruces Medical Center LLC	NM	General Acute Care Hospital	$0	$86.8M
Addus Healthcare, Inc.	NM	In Home Supportive Care Agency	$0	$81.1M
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

Mountain Shadows Home Care Services, Inc — Billing Profile & Reimbursement Data

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Mountain Shadows Home Care Services, 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

Nearby Providers

Frequently Asked Questions

References