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.

Express Home Care (NPI 1659541274)

Field	Value
Entity Type	Organization
Organization	Express Home Care
Address	3641 Oakdale Ave
City	Saint Louis
State	MO
ZIP	63121
Taxonomy	Personal Care Attendant
NPI Enumerated	March 11, 2008

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	63,780	$70	$4.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	6,780	$30	$223.8K
T1001	Nursing assessment / evaluation	1,510	$40	$64.9K
S5130	Homemaker service, nos; per 15 minutes	750	$30	$24.7K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	20	$70	$1.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$70	$860

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

Express Home Care — 0 of 6 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

6 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…	221	1,330	6,550	$80	$4.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	87	220	3,750	$60	$1.3M
T1001	Nursing assessment / evaluation	214	420	1,610	$50	$378.4K
S5130	Homemaker service, nos; per 15 minutes	68	90	3,300	$30	$317.1K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	76	90	150	$90	$164.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	318	350	50	$50	$23.7K

Nearby Providers

Other providers in the same ZIP code as Express Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Angel's Care Inc	MO	Personal Care Attendant	$0	$16.1M
Harris Best Care Inc.	MO	Home Health Agency	$0	$7.8M
Eternal Home Care Services, Inc	MO	Home Health Agency	$0	$6M
A Savvy Healthcare Solution, LLC	MO	In Home Supportive Care Agency	$0	$5.1M
Be Kind Health Care, LLC	MO	In Home Supportive Care Agency	$0	$4.3M
Cds Express LLC	MO	In Home Supportive Care Agency	$0	$4.3M
Under Grace Home Health Agency LLC	MO	Home Health Agency	$0	$3.9M
Northeast Ambulance And Fire Protection District	MO	Land Ambulance	$187K	$3.6M
Acts Of Care, LLC	MO	In Home Supportive Care Agency	$0	$3.6M
Julia O'conner	MO	Physical Therapist	$137.2K	$0

Express Home Care — Billing Profile & Reimbursement Data

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Express Home Care — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References