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

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

Home Caregivers Of Cookeville (NPI 1619408143)

Field	Value
Entity Type	Organization
Organization	Home Caregivers Of Cookeville
Address	118 S Dixie Ave
City	Cookeville
State	TN
ZIP	38501
Taxonomy	Home Health Agency
NPI Enumerated	March 26, 2017

Payer Source	Total Paid
Medicaid	$49.6M
Medicare	$0

Key Findings

HOME CAREGIVERS OF COOKEVILLE is effectively a Medicaid-focused operator: it reports $49.6M in total Medicaid revenue and has none (no Medicare billing on file), with an NPI enumerated 2017-03-26 (~9 years ago). The absence of Medicare billing makes comparative analyses with national Medicare peers irrelevant for this entity and directs attention to in-state Medicaid peer benchmarks.

Revenue is highly concentrated in a very small set of Medicaid codes: the top three Medicaid codes (T2033, S5165, S5125) together account for 89.6% of the provider's total Medicaid revenue. Specifically, T2033 accounts for $36.6M (73.9%), S5165 $4.3M (8.6%), and S5125 $3.5M (7.1%), indicating the business is driven by a few high-impact service lines rather than a broad mix of small services.

The code mix and dollar amounts point to a services profile centered on long-term services and supports and waiver/residential care: T2033 (Residential care, waiver; per diem) dominates revenue, complemented by S5165 (Home modifications; per service) and S5125 (Attendant care services; per 15 minutes). This combination suggests the provider operates significant residential-waiver programs and also performs capital/one-time interventions (home modifications) in addition to high-volume attendant/personal care delivery.

Claim-count and payment patterns reinforce the operational profile: T2033 shows 57.7K claims at $635 avg paid/claim, reflecting a high-volume per-diem residential service; S5165 shows 1.4K claims at $3001 avg paid/claim, reflecting fewer but high-dollar, discrete home-modification services; and S5125 shows 31.1K claims at $114 avg paid/claim, consistent with recurring, time-based attendant services. These differences imply distinct workflows and cost/revenue drivers across the provider’s top service lines.

Competitive standing is mixed by code: for S5165 the provider ranks #1 of 12 in-state (100th percentile; notably above typical state volume), indicating a clear statewide leadership position for home modifications under waiver programs. By contrast, T2033 ranks #6 of 97 (95th percentile; typical, unremarkable volume for this code) — a high-ranking but operationally common position among many residential-waiver providers — and S5125 ranks #47 of 155 (70th percentile; typical, unremarkable volume), which signals a solid but not dominant role in attendant care.

Secondary Medicaid codes contribute modestly but are present across waiver and personal care categories: T1019 ($3.4M, 6.8%) ranks #40 of 208 (81th percentile; typical, unremarkable volume), T2016 ($1.6M, 3.2%) ranks #18 of 45 (61th percentile; typical, unremarkable volume), while S5150 and T2029 contribute only $112.2K (0.2%) and $60.3K (0.1%) respectively. These smaller lines suggest supplemental personal care and equipment services that diversify but do not materially shift the provider’s concentrated revenue base.

From a risk and strategic perspective, the provider’s dependence on T2033 and S5165 (which, together with S5125 compose 89.6% of Medicaid revenue) creates exposure to changes in waiver policy, per-diem reimbursement, or state-level procurement for home modifications. Analysts should treat performance on T2033 and S5165 as primary indicators of the entity’s financial health and monitor state waiver rules and procurement trends for those specific codes.

For benchmarking and competitive analysis, prioritize in-state Medicaid peers and code-level comparisons rather than Medicare-based peer sets given the absence of Medicare billing. The provider’s $49.6M Medicaid scale and the code-level rankings (notably the #1 position on S5165 and top decile presence on T2033) should be focal points when assessing market share, operational capacity, and vulnerability to policy shifts in Tennessee waiver services.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	57,680	$640	$36.6M
S5165	Home modifications; per service	1,420	$3,000	$4.3M
S5125	Attendant care services; per 15 minutes	31,100	$110	$3.5M
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…	47,050	$70	$3.4M
T2016	Habilitation, residential, waiver; per diem	4,430	$360	$1.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	2,550	$40	$112.2K
T2029	Specialized medical equipment, not otherwise specified, waiver	290	$210	$60.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Home Caregivers Of Cookeville — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	6	100	4,520	$320	$31.6M
T2016	Habilitation, residential, waiver; per diem	18	50	2,620	$430	$11.9M
S5125	Attendant care services; per 15 minutes	47	160	18,880	$110	$3.9M
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…	40	210	10,880	$90	$3.7M
S5165	Home modifications; per service	1	10	100	$2,510	$701.3K
S5150	Unskilled respite care, not hospice; per 15 minutes	39	110	1,370	$60	$264K
T2029	Specialized medical equipment, not otherwise specified, waiver	5	10	250	$330	$242.5K

Nearby Providers

Other providers in the same ZIP code as Home Caregivers Of Cookeville, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cookeville Regional Medical Center	TN	General Acute Care Hospital	$0	$17.1M
Senior Life Management LLC	TN	In Home Supportive Care Agency	$0	$13.3M
Putnam County Pediatrics	TN	Pediatrics Physician	$0	$8.4M
Cavity Commando's Dentistry For Kids PLLC	TN	Pediatric Dentistry	$0	$7.6M
Tennessee Pediatric & Adolescent Center	TN	Legal Medicine	$0	$7M
County Of Putnam	TN	Land Ambulance	$1.7M	$4M
Womens Health Services Of The Cumberlands, PLLC	TN	Obstetrics & Gynecology Physician	$0	$5.6M
Cookeville Regional Dental Inc	TN	Dentist	$0	$5.4M
Cookeville Pediatric Associates, PLLC	TN	Pediatrics Physician	$0	$5M
Upper Cumberland Rural Health Clinic PLLC	TN	Rural Health Clinic/Center	$0	$3.6M

Home Caregivers Of Cookeville — Billing Profile & Reimbursement Data

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Home Caregivers Of Cookeville — 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