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    OpenPayerNPI Medicare & MedicaidSerenity Home Health Agency, LLC
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    Serenity Home Health Agency, LLC — Billing Profile & Reimbursement Data

    NPI 1679899959 · Reynoldsburg, OH · Home Health Agency

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    Serenity Home Health Agency, LLC is a home health agency provider located in Reynoldsburg, Ohio. This profile covers 0 Medicare and 5 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
    OrganizationSerenity Home Health Agency, LLC
    Address7512 E Main St
    CityReynoldsburg
    StateOH
    ZIP43068
    TaxonomyHome Health Agency
    NPI EnumeratedApril 13, 2010

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

    Payer SourceTotal Paid
    Medicaid$74.5M
    Medicare$0

    Key Findings

    SERENITY HOME HEALTH AGENCY, LLC is a long-tenured home health agency based in Reynoldsburg, OH with an NPI enumerated on 2010-04-13 (~16 years ago). Its billing profile is effectively single-payer: there is no Medicare billing on file and $74.5M in lifetime Medicaid revenue, indicating operations are concentrated in the Medicaid market rather than split across Medicare/Medicaid payers.

    Revenue is extremely concentrated in a very small set of Medicaid codes: the top three Medicaid codes (G0156, T1019, G0299) account for 99.2% of this provider's total Medicaid revenue. Those top three include G0156 ($49.7M, 66.6% of Medicaid revenue), T1019 ($23.6M, 31.7%), and G0299 ($616K, 0.8%), which together explain virtually all reported Medicaid income.

    The code mix points to a business model centered on hands-on personal care and home health aide services rather than skilled nursing: G0156 (home health/hospice aide services) and T1019 (personal care services) together comprise $73.3M of revenue and the overwhelming share of claims volume (1.3M and 291.9K claims, respectively). G0299 (direct skilled nursing by an RN) is present but represents a very small share of revenue and claims relative to aide/personal care codes, suggesting limited skilled-nurse service delivery.

    G0156 performance signals a dominant statewide position for home health aide services: the provider reported 1.3M claims and $49.7M revenue for G0156, ranking #2 of 482 providers in-state and described as an extreme outlier and far above typical state volume for this code. For payers and competitive analysts, this level of concentration and rank indicates market-scale leadership in the home health/hospice aide segment within Ohio.

    T1019 also indicates strong statewide standing in the personal care segment: with 291.9K claims, $23.6M revenue, and a rank of #15 of 829 providers in-state (98th percentile; extreme outlier), the provider is well above typical state volume for T1019 and is a major in-state participant for non-skilled personal care services. The higher average paid per claim for T1019 ($81 avg paid/claim) versus G0156 ($39 avg paid/claim) underscores that different service types drive revenue at different margins.

    Skilled nursing and assessment codes show mixed patterns: G0299 accounts for 14K claims and $616K revenue (0.8% of Medicaid revenue) and ranks #135 of 561 providers in-state (76th percentile), which is a typical, unremarkable volume for RN skilled nursing. By contrast, T1001 (nursing assessment/evaluation) reports 16.6K claims and $548.6K revenue (0.7% of Medicaid revenue) but ranks #4 of 500 providers in-state (99th percentile; extreme outlier), indicating unusually high relative use of assessment/evaluation services despite modest absolute revenue.

    From a payer perspective, the provider’s business and payment exposure is highly concentrated: $74.5M in Medicaid revenue with no Medicare billing on file and a revenue profile where G0156 and T1019 together account for 98.3% of Medicaid revenue (66.6% + 31.7% as reported among the top codes). This combination of single-payer dependence and code-level concentration creates sensitivity to any policy, audit, or rate changes affecting those two codes in Ohio and makes the provider a strategically significant counterparty for Medicaid-managed-care arrangements focused on long-term personal care and aide services.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes1,273,530$40$49.7M
    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…291,930$80$23.6M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes14,000$40$616K
    T1001Nursing assessment / evaluation16,630$30$548.6K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes1,200$40$46.9K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1583020,350$70$3.1M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes248027,490$30$2.5M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes2753804,540$40$794.2K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes1355603,370$40$543.8K
    T1001Nursing assessment / evaluation4500490$30$45.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Intra-national Home Care, LLCOHIn Home Supportive Care Agency$0$60.2M
    First Step Recovery CenterOHSubstance Use Disorder Rehabilitation Clinic/Center$0$39M
    Medina Home Healthcare LLCOHHome Health Agency$0$21.7M
    Ivory Home Health Services Inc.OHHome Health Agency$0$20.3M
    24-seven Home Health Care LLCOHHome Health Agency$0$19.6M
    Almis Home Healthcare, LLCOHHome Health Agency$0$18.8M
    Lbs International Inc Dba Friendly Care AgencyOHHome Health Agency$0$15.2M
    Nina's Health Care ServicesOHHome Health Agency$0$14.4M
    Friendly Care, IncOHHome Health Agency$0$12.5M
    Ultimate Home Healthcare Services, Inc.OHHome Health Agency$0$11.7M

    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. Ohio Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Serenity Home Health Agency, LLC — 3 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio