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

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

Extended Family Care LLC (NPI 1700172392)

Field	Value
Entity Type	Organization
Organization	Extended Family Care LLC
Address	30 Powers Bridge Rd
City	Manchester
State	TN
ZIP	37355
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 22, 2011

Payer Source	Total Paid
Medicaid	$38.2M
Medicare	$0

Key Findings

EXTENDED FAMILY CARE LLC is effectively a single‑payer Medicaid operator: there is no Medicare billing on file and the provider reports $38.2M in lifetime Medicaid revenue, indicating its scale is driven entirely by Medicaid reimbursements rather than any Medicare business. This concentration in one payer shapes the provider’s revenue exposure and strategic positioning in its market.

Revenue is extremely concentrated in a narrow service set: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, and in practice that footprint is composed of H0043 and H0044 which together represent the full Medicaid income stream. That degree of coding concentration signals that changes to reimbursement or eligibility for those service lines would materially affect total revenue.

The code mix (H0043 and H0044) points to a core business model centered on supported housing and residential behavioral‑health placements: H0043 is billed as supported housing per diem and H0044 as supported housing per month. High claim volumes for per‑diem billing (92.3K claims for H0043) plus substantial monthly billing (20.8K claims for H0044) are consistent with ongoing daily and monthly placements rather than episodic outpatient care.

H0043 is the dominant single revenue driver: it accounts for $27.4M (71.7% of the provider’s Medicaid revenue), with 92.3K claims and an average paid per claim of $297. Statewide ranking for H0043 is #9 of 20 providers (58th percentile) and is labeled as a typical, unremarkable volume, which characterizes EXTENDED FAMILY CARE as a mid‑table participant in per‑diem supported‑housing in Tennessee rather than a market leader.

H0044, billed as supported housing per month, contributes $10.8M (28.3% of Medicaid revenue) from 20.8K claims with an average paid per claim of $522. Its in‑state rank is #3 of 3 providers (0th percentile) and is also described as typical, indicating the provider participates in the much smaller statewide pool of monthly supported‑housing billers but is not distinguishably dominant given the limited comparator set.

Taken together, the two codes show complementary billing patterns: H0043 drives high frequency, lower average per‑claim revenue while H0044 accounts for lower frequency but higher average per‑claim payments. This split reinforces an operational model focused on a mix of daily occupancy billing and dedicated monthly placements, producing the $38.2M Medicaid footprint.

From a competitive‑standing perspective, EXTENDED FAMILY CARE is not an outlier in the Medicaid supported‑housing market: its H0043 position at the 58th percentile indicates typical statewide volume and its H0044 position reflects activity within a very small peer group. The provider should be characterized as a modest but established participant in Tennessee’s supported‑housing ecosystem rather than a dominant statewide provider.

The provider’s NPI was enumerated on 2011-06-22 (~15 years ago), indicating a prolonged presence in the market. Combined with $38.2M in Medicaid revenue and the concentrated code mix, this tenure suggests operational stability in its chosen service niche but also potential vulnerability because almost all revenue is tied to the supported‑housing codes H0043 and H0044.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0043	Supported housing, per diem	92,260	$300	$27.4M
H0044	Supported housing, per month	20,760	$520	$10.8M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Extended Family Care LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0043	Supported housing, per diem	9	20	69,350	$180	$18.6M
H0044	Supported housing, per month	3	10	36,620	$330	$14.6M

Nearby Providers

Other providers in the same ZIP code as Extended Family Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Staffco Of Eastern Tn. Inc	TN	In Home Supportive Care Agency	$0	$15.7M
Coffee Medical Group LLC	TN	Rural Health Clinic/Center	$0	$12.1M
A Plus Medical Staffing Inc.	TN	Home Health Agency	$0	$7.7M
Coffee Medical Group LLC	TN	Rural Health Clinic/Center	$0	$6.3M
Coffee Medical Group LLC	TN	Rural Acute Care Hospital	$0	$3.6M
County Of Coffee Office Of County Executive	TN	Land Ambulance	$691K	$1.9M
Air Evac Ems Inc	TN	Air Ambulance	$444K	$113.9K
Meredith Barnett	TN	Family Nurse Practitioner	$457.2K	$100
Jason Herndon	TN	Pain Medicine (Anesthesiology) Physician	$381.2K	$0
Lindsay Hayler	TN	Physician Assistant	$169.1K	$0

Extended Family Care LLC — Billing Profile & Reimbursement Data

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Extended Family Care LLC — 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