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    OpenPayerNPI Medicare & MedicaidPurpose Home Health, LLC
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    Purpose Home Health, LLC — Billing Profile & Reimbursement Data

    NPI 1679842322 · Indianapolis, IN · Home Health Agency

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    Purpose Home Health, LLC is a home health agency provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 1 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
    OrganizationPurpose Home Health, LLC
    Address5455 Harrison Park Lane
    CityIndianapolis
    StateIN
    ZIP46216
    TaxonomyHome Health Agency
    NPI EnumeratedDecember 27, 2011

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

    Payer SourceTotal Paid
    Medicaid$56.2M
    Medicare$0

    Key Findings

    PURPOSE HOME HEALTH, LLC is effectively single-payer in its claims profile: there is no Medicare billing on file while total Medicaid revenue is $56.2M, indicating the provider’s billed activity and reported revenue are concentrated in Medicaid rather than Medicare. This concentration means analysts should treat Medicaid as the primary commercial lens when benchmarking this entity.

    Revenue concentration is extreme: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, and that revenue is entirely driven by a single code, 99600, which is reported as generating $56.2M. This level of concentration signals that virtually all reported Medicaid receipts map to a single service line.

    The operational profile implied by the dominant code, 99600, points to a high-volume home-visit service model: 99600 is used to report home visit services or procedures that lack a more specific code, and this provider is classified under the Home Health Agency taxonomy. The mix suggests the organization’s primary business is recurring in-home care visits rather than a broad portfolio of ancillary, procedure-specific services.

    Unit economics and scale are visible in the claims metrics: 99600 is associated with 1.1M claims at an average paid amount of $52 per claim, aggregating to $56.2M in revenue. Those figures imply very large claim volumes with relatively modest per-claim reimbursement, consistent with high-frequency, labor- and visit-driven service delivery.

    Competitive standing in-state for the dominant service is exceptional: PURPOSE HOME HEALTH ranks #1 of 126 providers in-state for code 99600 (100th percentile; extreme outlier, far above typical state volume for this code). This position characterizes the provider as a dominant statewide operator for this specific home-visit code rather than a modest participant.

    Tenure for this entity is established: the NPI was enumerated on 2011-12-27 (~15 years ago), indicating a multi-year presence in the market. That longevity, combined with the high claim volume for 99600, suggests an established operational footprint in Indiana’s Medicaid home-health ecosystem.

    From a business-risk and strategy perspective, the combination of single-payer reliance and single-code revenue concentration increases sensitivity to any Medicaid policy, reimbursement, or coding changes affecting 99600. Analysts should note the limited diversification implied by the dataset — shifts in utilization, reimbursement, or state-level coding guidance for 99600 would disproportionately affect this provider’s reported revenue and utilization patterns.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99600Use 99600 to report a home visit service or procedure that does not have a specific code.1,081,230$50$56.2M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99600Use 99600 to report a home visit service or procedure that does not have a specific code.113015,770$110$3.9M

    Nearby Providers

    Other providers in the same ZIP code as Purpose Home Health, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Of LawrenceINAmbulance$235.4K$3M
    Indianapolis Endoscopy Center LLPINAmbulatory Surgical Clinic/Center$924.4K$306.9K

    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. Indiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Purpose Home Health, LLC — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana