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

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

Caregivers Home Health Tx Inc (NPI 1689712481)

Field	Value
Entity Type	Organization
Organization	Caregivers Home Health Tx Inc
Address	800 E Campbell Rd Ste 254
City	Richardson
State	TX
ZIP	75081
Taxonomy	Home Health Agency
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicaid	$478M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only billing entity: there is no Medicare billing on file while total Medicaid revenue is $478M, indicating the organization operates at scale within state Medicaid programs rather than through Medicare fee-for-service. The absence of Medicare activity makes the provider’s financial profile and network leverage highly dependent on Medicaid contracting and waiver programs.

Revenue is highly concentrated in a small set of waiver and habilitation codes: the top 3 Medicaid codes (T2016, T2026, H2032) account for 77.4% of this provider's total Medicaid revenue, with T2016 at 35.1%, T2026 at 34.2%, and H2032 at 8.1%. This concentration implies that changes to reimbursement or eligibility for these specific codes would materially affect overall revenue.

The code mix (T2016 – habilitation residential waiver per diem; T2026 – specialized childcare waiver per diem; H2032 – activity therapy per 15 minutes) points to an operational model focused on residential habilitation and waiver-based specialized childcare with embedded therapy services. The prevalence of per-diem habilitation codes suggests the provider operates congregate or residential programs and is billing at scale for ongoing daily services rather than episodic, short-term home health visits.

State-level competitive standing on core lines is exceptional: T2016 revenue ranks #1 of 109 providers in-state (100th percentile; extreme outlier) and H2032 ranks #1 of 46 providers in-state (100th percentile; extreme outlier), while T2026 ranks #2 of 47 providers in-state (98th percentile; extreme outlier). These rankings indicate the provider is a dominant statewide player for the waiver residential habilitation and activity therapy services that drive most of its Medicaid revenue.

Beyond the top three, the provider shows meaningful secondary therapy and supportive-service volume that complements the residential/waiver footprint. For example, 97124 (massage) generated $22.4M (4.7% of Medicaid revenue) and ranks #2 of 41 providers in-state (98th percentile), G0176 generated $9.9M (2.1%) and ranks #2 of 27 (96th percentile), and G0648 produced $7.7M (1.6%) and ranks #2 of 34 (97th percentile), indicating a broad set of billed therapeutic modalities at above-typical state volumes.

The organization also bills for respite and attendant care lines, indicating ancillary support services tied to its primary habilitation/residential offerings. S9125 (respite care, in the home) generated $11.5M (2.4%) and ranks #2 of 16 providers in-state (93rd percentile), while T1019 (personal care services) produced $3.5M (0.7%) but ranks more modestly at #371 of 1050 (65th percentile), showing a mix of strong market positions in some supportive services and typical participation in others.

With an NPI enumerated on 2007-02-02 (~19 years ago), the provider appears to be an established operator in the Texas waiver/habilitation space; the combination of long tenure and very large Medicaid revenue ($478M) supports the view of an entrenched statewide service provider. That tenure, paired with top-code dominance, suggests existing program relationships and operational scale in residential habilitation and specialized childcare.

The business profile implies both operational leverage and concentration risk: heavy dependence on a few high-volume waiver per-diem codes (the top three account for 77.4% of Medicaid revenue) creates sensitivity to state waiver policy, rate changes, or shifts in placement patterns. At the same time, the presence of diversified therapy and respite lines (multiple codes with above-typical ranks) represents potential avenues to mitigate concentration if those services can be expanded or cross-leveraged with the provider’s dominant residential programs.

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	1,459,230	$120	$167.8M
T2026	Specialized childcare, waiver; per diem	897,680	$180	$163.4M
H2032	Activity therapy, per 15 minutes	183,270	$210	$38.5M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	249,340	$90	$22.4M
S9125	Respite care, in the home, per diem	110,830	$100	$11.5M
G0226	N/A	53,530	$200	$10.9M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	118,090	$80	$9.9M
T2015	Habilitation, prevocational, waiver; per hour	8,160	$1,100	$9M
G0648	N/A	553,120	$10	$7.7M
S5125	Attendant care services; per 15 minutes	64,260	$80	$5M

Showing 1–10 of 32

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Caregivers Home Health Tx Inc — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2026	Specialized childcare, waiver; per diem	2	50	33,380	$180	$17.4M
S5125	Attendant care services; per 15 minutes	758	1,680	50,290	$60	$9.5M
T2016	Habilitation, residential, waiver; per diem	1	110	6,810	$200	$8.1M
S9125	Respite care, in the home, per diem	2	20	18,690	$100	$3.5M
T2015	Habilitation, prevocational, waiver; per hour	2	10	1,450	$200	$3.4M
T2017	Habilitation, residential, waiver; 15 minutes	18	60	19,340	$80	$3M
H2032	Activity therapy, per 15 minutes	1	50	3,520	$170	$2.6M
G0226	N/A	2	10	2,550	$200	$2.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	13	40	4,490	$30	$2.5M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	2	40	3,120	$100	$2.3M

Showing 1–10 of 32

Nearby Providers

Other providers in the same ZIP code as Caregivers Home Health Tx Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apple Homecare Medical Supply LLC	TX	Durable Medical Equipment & Medical Supplies	$0	$123.3M
Hope Pediatrics LLC	TX	Home Health Agency	$0	$77.9M
Abc Home Medical Supply, Inc.	TX	Durable Medical Equipment & Medical Supplies	$0	$22.8M
Trident Diagnostics Limited Liability Company	TX	Clinical Medical Laboratory	$14.9M	$66.7K
Rfa Medical Solutions LLC	TX	Clinical Medical Laboratory	$6.4M	$0
Cabot Lab LLC	TX	Clinical Medical Laboratory	$278.1K	$1.2M
Curie Dx Laboratory LLC	TX	Clinical Medical Laboratory	$664.4K	$2.8K
Shahida Rafiq	TX	Family Medicine Physician	$232.7K	$0
Pearl Ezegrim	TX	Psychiatric/Mental Health Nurse Practitioner	$110.1K	$40
Francis Lister	TX	Optometrist	$23.8K	$0

Caregivers Home Health Tx Inc — Billing Profile & Reimbursement Data

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Caregivers Home Health Tx Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References