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

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

Cognitive Development Center Personal Care Services (NPI 1629145628)

Field	Value
Entity Type	Organization
Organization	Cognitive Development Center Personal Care Services
Address	1811 Roselawn Ave
City	Monroe
State	LA
ZIP	71201
Taxonomy	Nursing Care Agency
NPI Enumerated	November 29, 2006

Payer Source	Total Paid
Medicaid	$27.8M
Medicare	$0

Key Findings

COGNITIVE DEVELOPMENT CENTER PERSONAL CARE SERVICES appears to be a largely time-based attendant-care operator: its Medicaid billing is dominated by S5125 (S5125 – Attendant care services; per 15 minutes), a service-oriented, hands-on personal care code. The presence of high-volume 15-minute attendant care claims suggests operations focused on one-on-one home or community-based personal assistance rather than facility-based or procedure-driven services.

Revenue is extremely concentrated in a single code on Medicaid: S5125 accounts for $27.8M in revenue and represents 100.0% of this provider's total Medicaid revenue, while remaining listed codes are negligible by comparison. This concentration means the provider’s reported Medicaid performance is effectively synonymous with its S5125 activity.

This provider is effectively single-payer at scale: total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $27.8M, indicating Medicaid is the sole recorded public payer driving revenue. Analysts should treat the entity as a Medicaid-focused operator rather than a dual-payor practice.

On state competitive standing for its primary service, the provider is a major in-state participant: its S5125 activity includes 212.2K claims at a $131 avg paid/claim and ranks #6 of 486 providers in-state (99th percentile; notably above typical state volume for this code). That placement indicates the provider is among the largest Medicaid attendant-care billers in Louisiana for this code, not a marginal player.

Secondary and ancillary Medicaid services are minimal and not a material revenue source: T2019 shows only 175 claims, $18 avg paid/claim, and $3.2K revenue (0.0% of this provider's total Medicaid revenue), ranking #11 of 12 in-state (9th percentile). This pattern reinforces that the provider’s business model is narrowly focused on attendant care rather than a broader habilitation or waiver service mix.

The provider has a long enrollment history: NPI enumerated 2006-11-29 (~20 years ago), which suggests sustained participation in Medicaid programs and potential operational maturity in delivering attendant-care services. Tenure combined with the high volume of S5125 claims implies established referral or contracting relationships in its service area.

The near-total reliance on a single time-based attendant-care revenue stream creates a concentration exposure: policy, reimbursement rate changes, utilization management, or audit focus on S5125 could materially affect the provider’s reported revenue. Given the provider’s state-level prominence on S5125, payers and competitors may prioritize monitoring changes to attendant-care policy and utilization trends when assessing financial or contracting risk.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	212,230	$130	$27.8M
T2019	Habilitation, supported employment, waiver; per 15 minutes	180	$20	$3.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Cognitive Development Center Personal Care Services — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	6	490	35,970	$140	$7.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	11	10	3,660	$80	$296.3K

Nearby Providers

Other providers in the same ZIP code as Cognitive Development Center Personal Care Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Solutions, Inc.	LA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$49.8M
Affinity Health Group, LLC	LA	Family Medicine Physician	$0	$34.6M
Ascent Health, Inc	LA	Community/Behavioral Health Agency	$0	$31.4M
St Francis Medical Center, Inc	LA	General Acute Care Hospital	$0	$27.2M
Enrich Personal Care Services, LLC.	LA	Preferred Provider Organization	$0	$26.7M
Southern Center For Children And Families, Inc.	LA	Community/Behavioral Health Agency	$0	$24.5M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$19.3M
D & D Community Connections	LA	Preferred Provider Organization	$0	$19.2M
Hearts Desire LLC	LA	In Home Supportive Care Agency	$0	$17.3M
Building Futures	LA	Speech-Language Pathologist	$0	$17M

Cognitive Development Center Personal Care Services — Billing Profile & Reimbursement Data

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Cognitive Development Center Personal Care Services — 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