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.

Emerest Health Cds Of Missouri (NPI 1619348067)

Field	Value
Entity Type	Organization
Organization	Emerest Health Cds Of Missouri
Address	9270 Olive Blvd
City	Olivette
State	MO
ZIP	63132
Taxonomy	Personal Care Attendant
NPI Enumerated	October 12, 2015

Payer Source	Total Paid
Medicaid	$120.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused personal care operator: taxonomy lists Personal Care Attendant and the dominant code is T1019 (Personal care services, per 15 minutes), indicating the business delivers time-based personal care services in non-institutional settings. The T1019 line shows 1.5M claims and a $81 avg paid/claim, which aligns with an agency model that bills large volumes of short-interval direct care units.

Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and T1019 alone represents $120.2M (99.9% of total Medicaid revenue). This concentration means the provider’s financial performance hinges almost entirely on a single service code.

This entity reports no Medicare billing on file and $120.3M in Medicaid revenue, making it effectively single-payer in scale for the available data; there is no Medicare book to compare against Medicaid. Analysts should treat Medicaid payment policy and waiver program changes as the primary revenue risk or opportunity driver for this provider.

On competitive standing within Missouri for the dominant service, the provider ranks #7 of 1332 in-state for T1019 and sits in the 100th percentile as an extreme outlier, described in the source as far above typical state volume. That rank and percentile indicate this provider is a major, statewide leader in volume for personal care services billed under T1019.

Secondary codes are immaterial to overall revenue but clarify service scope: T2040 (Financial management, self-directed, waiver) accounts for $120.3K (0.1% of Medicaid revenue) and ranks #10 of 19 in-state at the 50th percentile (typical); T2028 and T1028 together contribute negligible amounts ($2K and $936 respectively, each 0.0%). These supporting codes suggest limited engagement in administrative/assessment or supply billing relative to frontline personal care delivery.

The provider’s NPI was enumerated on 2015-10-12 (~11 years ago), indicating roughly a decade of recorded activity under this NPI. This tenure supports interpreting the observed high T1019 volumes as an established operational pattern rather than a short-term spike.

Given the extreme concentration in a single time-based personal care code (T1019) and the program-level concentration in Medicaid, the provider’s competitive position appears strong within state personal care service provision but also exposed to any policy, audit, or reimbursement changes specific to T1019 or the waiver frameworks that authorize it. Monitoring changes to per-15-minute billing rules or waiver enrollment would be high priority for payers and partners.

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
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…	1,483,940	$80	$120.2M
T2040	Financial management, self-directed, waiver; per 15 minutes	850	$140	$120.3K
T2028	Specialized supply, not otherwise specified, waiver	10	$170	$2K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	70	$10	$940

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

Emerest Health Cds Of Missouri — 1 of 4 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

4 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…	7	1,330	6,550	$80	$4.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	10	20	850	$70	$250.4K
T2028	Specialized supply, not otherwise specified, waiver	14	10	220	$120	$198.9K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	54	90	150	$90	$164.6K

Nearby Providers

Other providers in the same ZIP code as Emerest Health Cds Of Missouri, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Delivery Incontinent Supplies Co Inc	MO	Durable Medical Equipment & Medical Supplies	$0	$76.9M
Southern Home Care Services, Inc.	MO	In Home Supportive Care Agency	$0	$44.2M
New Beginnings Cds	MO	In Home Supportive Care Agency	$0	$35.2M
United Cerebral Palsy Heartland	MO	Developmentally Disabled Services Day Training Agency	$0	$30.2M
United Cerebral Palsy Heartland	MO	Developmentally Disabled Services Day Training Agency	$0	$23.9M
Healthline Consumer Directed Care, LLC	MO	Nursing Care Agency	$0	$20M
Healthline In-home Care, LLC	MO	In Home Supportive Care Agency	$0	$16.5M
Shea Home Care, Inc.	MO	In Home Supportive Care Agency	$0	$11.3M
I Care We Care Home Care, LLC	MO	Home Health Agency	$0	$7.8M
Provision Home Care Inc.	MO	Home Health Agency	$0	$7.6M

Emerest Health Cds Of Missouri — Billing Profile & Reimbursement Data

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Emerest Health Cds Of Missouri — 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