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

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

Provide Care, Inc. (NPI 1669549887)

Field	Value
Entity Type	Organization
Organization	Provide Care, Inc.
Address	4722 Isanti Trl
City	North Branch
State	MN
ZIP	55056
Taxonomy	Social Worker
NPI Enumerated	November 30, 2006

Payer Source	Total Paid
Medicaid	$39.3M
Medicare	$0

Key Findings

PROVIDE CARE, INC. is effectively a Medicaid-only billing entity: there is no Medicare billing on file while Medicaid revenue totals $39.3M, indicating the organization’s operations and revenue are concentrated solely within state Medicaid programs rather than serving Medicare beneficiaries. This payer mix implies strategic focus and operational capacity aligned with Medicaid-funded service models rather than dual-payer clinical billing.

Revenue concentration is highly focused: the top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with two codes alone reported — S5140 generates $28.9M (73.6% of Medicaid revenue) and T2016 generates $10.4M (26.4% of Medicaid revenue). This tight concentration suggests the organization’s financial performance is nearly entirely dependent on a small set of per-diem residential/habilitation service lines.

The code mix points to a social-service residential model: S5140 (foster care, adult; per diem) and T2016 (habilitation, residential, waiver; per diem) indicate PROVIDE CARE, INC. primarily operates residential foster-care and habilitation programs paid on a per-diem basis, consistent with a social worker taxonomy and non-medical support services rather than acute clinical care. The predominance of per-diem codes suggests the business is structured around long-stay or recurring residential placements.

Competitive standing within Minnesota is modest but not dominant for these lines. For S5140 the provider ranks #21 of 59 in-state (66th percentile) which the data labels as typical/unremarkable volume for that code, and for T2016 it ranks #20 of 34 in-state (42th percentile) also characterized as typical/unremarkable. These placements imply PROVIDE CARE, INC. is a mid-tier state participant rather than a statewide leader on its highest-revenue codes.

The provider has a long tenure in the NPI registry, enumerated since 2006-11-30 (~20 years ago), which supports interpretation that the Medicaid-focused operations are established rather than newly launched; sustained enrollment aligns with stable long-term participation in state programs. This longevity, paired with the concentrated code mix, suggests operational specialization in residential foster-care and habilitation services over many years.

The unit economics implied by average paid/claim values are relatively low per encounter but scale through volume: S5140 reports $228 avg paid/claim across 126.6K claims and T2016 reports $209 avg paid/claim across 49.7K claims, producing the observed multi-million-dollar revenues. These figures indicate a high-volume, low-unit-rate service model where aggregate revenue is driven by large claim counts rather than high per-claim reimbursements.

Because nearly all Medicaid revenue is captured by per-diem, social-support codes, the provider’s financial exposure is concentrated to policy or rate changes affecting residential foster-care and habilitation per-diem payments. Any changes to reimbursement rules or eligibility for S5140 or T2016 would likely have an outsized effect on the organization’s Medicaid revenue given that those two codes comprise 100.0% of its reported Medicaid billing.

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
S5140	Foster care, adult; per diem	126,620	$230	$28.9M
T2016	Habilitation, residential, waiver; per diem	49,670	$210	$10.4M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Provide Care, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5140	Foster care, adult; per diem	21	60	33,770	$300	$37.6M
T2016	Habilitation, residential, waiver; per diem	20	30	84,870	$240	$23.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakes Region Ems, Inc.	MN	Land Ambulance	$596.3K	$2.5M
Andrew Clary	MN	Interventional Pain Medicine Physician	$133.6K	$0
Paula Rehder	MN	Family Medicine Physician	$84.8K	$0
Jessica Denning	MN	Psychiatric/Mental Health Nurse Practitioner	$24.7K	$0

Provide Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Provide Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Provide Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Provide Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References