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.

Apc Home Health Service, Inc. (NPI 1629184296)

Field	Value
Entity Type	Organization
Organization	Apc Home Health Service, Inc.
Address	1805 Bell St
City	Harlingen
State	TX
ZIP	78550
Taxonomy	Home Health Agency
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicaid	$97.1M
Medicare	$0

Key Findings

APC HOME HEALTH SERVICE, INC. is effectively a Medicaid-only billing entity: there is no Medicare billing on file and the provider reports $97.1M in total Medicaid revenue, indicating that Medicaid is by far the primary — and effectively sole — payer driving this organization’s historical receipts. This payer concentration means the provider’s financial profile is closely tied to Medicaid policy and reimbursement levels.

Revenue for this provider is extremely concentrated in a small set of time-based personal care codes: the precomputed top three Medicaid codes account for 100.0% of its reported Medicaid revenue, and S5125 alone represents $91.3M (94.1% of Medicaid revenue). That single-code concentration creates meaningful business risk if utilization patterns or reimbursement for S5125 change.

The code mix — dominated by S5125 (attendant care services; per 15 minutes), with supplemental volumes in T1019 (personal care services, per 15 minutes) and T1005 (respite care services, up to 15 minutes) — indicates an operational model focused on high-volume, time-based attendant and personal care rather than skilled nursing or therapy services. This pattern is consistent with a labor-intensive home- or community-based attendant/personal care operation that delivers many short-duration visits billed by the 15-minute increment.

APC’s position within the state market is extreme for its primary code: S5125 ranks #11 of 1678 providers in-state (99th percentile) and is described as an "extreme outlier, far above typical state volume for this code," signaling a dominant or highly concentrated role for attendant-care capacity relative to peers. By contrast, T1019 (rank #188 of 1050, 82th percentile) is characterized as typical and unremarkable, and T1005 (rank #24 of 564, 96th percentile) is reported as typical/unremarkable despite a high rank, suggesting the provider’s standout competitive position is concentrated specifically on S5125.

The provider’s claims and unit-payment profile reinforce a high-volume, low-unit-rate model: S5125 shows 1.7M claims at an average paid/claim of $54, T1019 has 88.3K claims at $38 average paid/claim, and T1005 has 54.1K claims at $44 average paid/claim. These figures point to substantial staffing and operational throughput to generate $97.1M in Medicaid revenue, with margins and cash flow sensitive to changes in per-15-minute reimbursement rates.

Because the top three codes account for 100.0% of Medicaid revenue, any programmatic, policy, or competitive shift that reduces demand or reimbursement for attendant/personal care codes would disproportionately affect APC’s total revenue. The combination of single-payer dependence and single-code dominance elevates exposure to Medicaid policy shifts, prior authorization changes, or competitive entry focused on S5125 services.

APC’s NPI has been active for a substantial period — enumerated on 2006-08-23 (~20 years ago) — which, together with $97.1M in lifetime Medicaid revenue, suggests an established presence in the Texas home health/attendant care market. Longevity plus the extreme S5125 footprint implies the provider has scaled a specialized service-line over many years rather than being a recent entrant.

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	1,691,370	$50	$91.3M
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…	88,340	$40	$3.4M
T1005	Respite care services, up to 15 minutes	54,140	$40	$2.4M

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

Apc Home Health Service, Inc. — 2 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	11	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…	188	1,050	23,280	$30	$1.8M
T1005	Respite care services, up to 15 minutes	24	560	8,490	$50	$842.3K

Nearby Providers

Other providers in the same ZIP code as Apc Home Health Service, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Primary Home Care, Inc	TX	Home Health Agency	$0	$161.5M
Texas Visiting Nurse Service, Ltd.	TX	Home Health Agency	$0	$138.2M
Agua Cristalina Home Care, LLC	TX	Home Health Agency	$0	$108.1M
Mizpah Residential Care. Inc.	TX	Home Health Agency	$0	$45.5M
Su Clinica Familiar	TX	Federally Qualified Health Center (FQHC)	$0	$37.6M
Vicki Roy Home Health Service, LP	TX	Home Health Agency	$0	$29.5M
Nuevo Destino Primary Home Care LLC	TX	Personal Care Attendant	$0	$26.6M
Santa Cruz Health Services, Inc	TX	Home Health Agency	$0	$23.8M
Vhs Harlingen Hospital Company LLC	TX	General Acute Care Hospital	$0	$23.6M
All Texas Health Care, Inc.	TX	Personal Care Attendant	$0	$17.7M

Apc Home Health Service, Inc. — Billing Profile & Reimbursement Data

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Apc Home Health Service, 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