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    OpenPayerNPI Medicare & MedicaidClovis Homecare, Inc.
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    Clovis Homecare, Inc. — Billing Profile & Reimbursement Data

    NPI 1679651319 · Clovis, NM · Home Health Agency

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    Clovis Homecare, Inc. is a home health agency provider located in Clovis, New Mexico. This profile covers 0 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationClovis Homecare, Inc.
    Address1944 W 21st St
    CityClovis
    StateNM
    ZIP88101
    TaxonomyHome Health Agency
    NPI EnumeratedNovember 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$84M
    Medicare$0

    Key Findings

    CLOVIS HOMECARE, INC. is effectively a Medicaid-focused home health agency: there is no Medicare billing on file and the provider reports $84M in lifetime Medicaid revenue, indicating it operates almost entirely within the state Medicaid market rather than the Medicare market. The absence of Medicare activity makes this a single-payer (Medicaid) profile for analytical purposes.

    Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicaid codes account for 97.5% of total Medicaid revenue, signaling that the organization’s financials depend heavily on a narrow suite of service lines rather than a diversified code mix. This concentration elevates sensitivity to reimbursement or utilization changes for those specific codes.

    T1019 is the dominant revenue driver, generating $53.1M and representing 63.2% of the provider’s Medicaid revenue. That scale and the code’s description (personal care services per 15 minutes as part of an individualized plan of treatment) indicate the agency’s core operation is delivering high-volume personal care/PCS services in community or home settings.

    99509 is the second major contributor with $21.4M (25.4% of Medicaid revenue) from 98.5K claims for home visits assisting with ADLs and self-care. Combined with T1019, these two codes together account for the vast majority of revenue, reinforcing that hands-on ADL and personal-support visit types are the primary service lines.

    S5125 (attendant care services; per 15 minutes) contributes $7.5M (8.9% of Medicaid revenue) and, together with the top two codes, completes the trio that forms 97.5% of revenue. The presence of both personal care (T1019) and attendant care (S5125) codes suggests the agency offers both plan-based personal care under an individualized treatment plan and time-based attendant services, pointing to operational emphasis on direct-care workforce deployment.

    Competitive standing in-state is strong for key codes: CLOVIS HOMECARE ranks #4 of 89 providers for T1019 (97th percentile) and is notably above typical state volume for that code, indicating dominant capacity in personal care services relative to peers. For 99509 and S5125 the provider ranks in the mid-to-high percentiles (#13 of 82 at the 85th percentile and #8 of 45 at the 84th percentile respectively), characterizing it as an important but not singularly dominant provider for those visit- and attendant-care services.

    G9006 (coordinated care fee, home monitoring) represents $2.1M (2.5% of Medicaid revenue) and ranks #23 of 79 providers (72nd percentile), which suggests modest adoption of a care-coordination/home-monitoring revenue stream relative to its heavy emphasis on in-person personal and attendant care. This indicates the provider has some investment in remote/coordinated care fees but that these services are a minor part of its business.

    The provider has long tenure in the NPI system, enumerated since 2006-11-01 (approximately 20 years), which combined with sustained high-volume Medicaid billing for core personal-care codes suggests established operational capacity and an experienced community presence in New Mexico.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…829,640$60$53.1M
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.98,510$220$21.4M
    S5125Attendant care services; per 15 minutes87,740$90$7.5M
    G9006Coordinated care fee, home monitoring9,710$220$2.1M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Mexico median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.138020,990$310$16.4M
    T1019Personal 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…49092,900$70$13.3M
    S5125Attendant care services; per 15 minutes85010,600$100$4.3M
    G9006Coordinated care fee, home monitoring23803,840$190$2M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Clovis Homecare, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vgm Group, Inc.IADurable Medical Equipment & Medical Supplies$0$54.4M
    Ascension Medical Group-southeast Wisconsin IncWIInternal Medicine Physician$0$44.8M
    Horizon Home Care & Hospice, Inc.WIHome Health Agency$0$15.6M
    Lakeview Medical Center Inc Of Rice LakeWIRural Acute Care Hospital$0$10M
    Lakeview Medical Center Inc Of Rice LakeWIClinic/Center$0$1.6M
    Ministry Home Care, LLC.WICommunity Based Hospice Care Agency$0$1.5M
    Horizon Healthcare, IncWIMulti-Specialty Clinic/Center$0$1.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Enmrsh, Inc.NMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$51.9M
    Presbyterian Healthcare ServicesNMRural Acute Care Hospital$0$47.6M
    Mental Health Resources, Inc.NMMental Health Counselor$0$31M
    Absolutely You, LLCNMDevelopmentally Disabled Services Day Training Agency$0$26.2M
    K-bee Homcare Services, LLCNMIn Home Supportive Care Agency$0$18.3M
    Genesis Home Care LLCNMPersonal Care Attendant$0$17.3M
    New Mexico Healthcare Services, LLCNMHome Health Agency$0$16.6M
    Enmrsh, Inc.NMEarly Intervention Provider Agency$0$11.6M
    Curry Emergency Group LLCNMEmergency Medicine Physician$0$9.6M
    Familia Dentalclovis LLCNMGeneral Practice Dentistry$0$5.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Mexico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Clovis Homecare, Inc. — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico