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

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

Lifeline, Inc (NPI 1700061314)

Field	Value
Entity Type	Organization
Organization	Lifeline, Inc
Address	5632 Annapolis Rd Ste 9
City	Bladensburg
State	MD
ZIP	20710
Taxonomy	Home Health Agency
NPI Enumerated	January 2, 2008

Payer Source	Total Paid
Medicaid	$103.5M
Medicare	$0

Key Findings

LIFELINE, INC is effectively a Medicaid-focused operator: Total Medicaid revenue is $103.5M while Total Medicare revenue is none (no Medicare billing on file), and its NPI has been enumerated since 2008-01-02 (~18 years ago). This combination indicates long-tenured, single-payer dependence on state Medicaid programs rather than a mixed Medicare/Medicaid business model.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 93.4% of this provider’s total Medicaid revenue, driven primarily by T1019, T2016, and 99509. In particular, T1019 alone represents $79.2M (76.6% of Medicaid revenue), making this one service line the dominant source of revenue.

The code mix (T1019 – personal care services per 15 minutes; T2016 – habilitation, residential, waiver per diem; 99509 – home health provider visits for ADLs/self care) indicates an operational emphasis on hands-on, community-based personal care and waiver habilitation services rather than traditional Medicare skilled home health bundles. This aligns with the Home Health Agency taxonomy but points to a business model centered on per-15-minute and per-diem Medicaid-funded support services.

Competitive standing on the top revenue driver is strong in-state: T1019 ranks #1 of 4 providers in-state and is at the 100th percentile, indicating LIFELINE is the largest in-state biller for that code within its small peer group. Although the source notes this as a "typical, unremarkable volume for this code," the rank and percentile together show a dominant position on the single largest revenue source.

Other major codes show more modest competitive placement: T2016 (26.9K claims, $13.2M; 12.8%) ranks #7 of 11 in-state (40th percentile) and 99509 (28.6K claims, $4.2M; 4.1%) ranks #6 of 10 (44th percentile), which signals middle-tier participation on residential habilitation and ADL-visit services. Conversely, G0299 (16.3K claims, $1.6M; 1.6%) ranks #2 of 27 in-state (96th percentile), suggesting relatively strong in-state standing for direct skilled nursing in the home despite its much smaller revenue share.

Operationally, the dominance of per-15-minute personal care (T1019) and per-diem waiver habilitation (T2016) implies a workforce-heavy, schedule-driven delivery model where reimbursement is closely tied to documented minutes and per-diem placements. That mix typically requires scalable staffing, robust scheduling, and close claims documentation to capture high volumes of short-interval services.

The combination of extreme revenue concentration (93.4% from the top 3 codes) and a complete absence of Medicare billing creates payer-concentration risk: policy changes, reimbursement adjustments, or shifts in waiver program rules affecting T1019 or T2016 could materially impact LIFELINE’s revenue. Lack of Medicare exposure also limits natural diversification across federal and state funding streams.

For downstream analysis, analysts should prioritize reviewing claims and contract detail for T1019 and the two other top codes, verify program authorization/waiver participation that supports large per-diem and per-15-minute billing, and monitor in-state policy updates around personal care and habilitation rates. These focused steps are the most relevant given that $79.2M (76.6%) of Medicaid revenue is concentrated in a single code and the top three codes together represent 93.4% of the provider’s Medicaid revenue.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal 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…	604,930	$130	$79.2M
T2016	Habilitation, residential, waiver; per diem	26,880	$490	$13.2M
99509	A 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.	28,570	$150	$4.2M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	8,800	$330	$2.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	16,330	$100	$1.6M
T2021	Day habilitation, waiver; per 15 minutes	10,140	$130	$1.3M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	8,880	$100	$923.8K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	550	$1	$1.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Lifeline, Inc — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	7	10	33,370	$580	$25.8M
T1019	Personal 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…	1	10	94,610	$110	$22.4M
99509	A 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.	6	10	29,130	$210	$7.1M
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	4	10	5,340	$360	$4.3M
T2021	Day habilitation, waiver; per 15 minutes	7	10	17,100	$160	$3.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	7	10	11,460	$190	$2.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	2	30	2,110	$280	$1.3M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	11	10	1,690	$150	$967.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prestige Healthcare Resources Inc.	MD	Adult Mental Health Clinic/Center	$0	$55.6M
Healthtech Institute	MD	Developmentally Disabled Services Day Training Agency	$0	$4.5M
Parmjit Aujla	MD	Internal Medicine Physician	$193.7K	$175.4K
Asghar Shaigany	MD	Gastroenterology Physician	$133.7K	$0
Muyiwa Elesho	MD	Clinical Social Worker	$10.4K	$0

Lifeline, Inc — Billing Profile & Reimbursement Data

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Lifeline, 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