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

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

Community Home Health Care (NPI 1700231305)

Field	Value
Entity Type	Organization
Organization	Community Home Health Care
Address	184 Main St Ste 2d
City	South Portland
State	ME
ZIP	04106
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	May 2, 2016

Payer Source	Total Paid
Medicaid	$40.3M
Medicare	$0

Key Findings

COMMUNITY HOME HEALTH CARE is an In Home Supportive Care Agency located in SOUTH PORTLAND, ME with its NPI enumerated on 2016-05-02 (~10 years ago), indicating about a decade of enrollment in federal provider files. The taxonomy and tenure are consistent with an established, community-based home care operator focused on long-term supportive services rather than acute or facility-based care.

This provider has no Medicare billing on file (none) and a reported Total Medicaid revenue of $40.3M, making its financial footprint effectively single-payer with Medicaid as the primary reimbursement source. Absence of Medicare activity means analysts should treat Medicaid policy and state program changes as the primary revenue levers for this entity.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of the provider's total Medicaid revenue. In practice two codes dominate: T1019 accounts for $38.6M (95.8% of Medicaid revenue) across 43.5K claims with an $888 avg paid/claim, and T1005 accounts for $1.7M (4.2% of Medicaid revenue) across 15K claims with a $112 avg paid/claim.

The code mix (T1019 — Personal care services per 15 minutes; T1005 — Respite care services up to 15 minutes) points to an operation centered on time-based, in-home personal care and caregiver relief rather than skilled nursing or home health episodic care. This aligns with the In Home Supportive Care Agency taxonomy and suggests operational capacity oriented to high-frequency, short-interval visits and attendant caregiver scheduling.

Competitive standing for the largest code is solid but not dominant within the state. T1019 ranks #12 of 110 providers in-state (90th percentile; typical, unremarkable volume for this code), indicating a meaningful presence for personal care services; T1005 ranks #3 of 18 providers in-state (88th percentile; typical, unremarkable volume for this code), showing above-average standing for respite services within a smaller peer group.

Both Medicaid codes are characterized as “typical, unremarkable volume for this code,” so despite the heavy revenue concentration into T1019, the provider’s utilization levels fall within expected ranges among in-state peers rather than representing statistical outliers. Analysts should therefore interpret high dollar concentration as a business-model feature rather than an anomalous billing pattern.

The operational and financial implication of the profile is that the provider’s revenue is highly sensitive to changes in Medicaid rate-setting or utilization policy for time-based personal care (T1019) and respite (T1005). Given that T1019 represents $38.6M of the $40.3M Medicaid total, any reimbursement change to that code or shifts in service demand could materially affect overall revenue, making payer negotiations and state program rules key risk points for this organization.

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
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…	43,480	$890	$38.6M
T1005	Respite care services, up to 15 minutes	15,040	$110	$1.7M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Community Home Health Care — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	12	110	8,200	$220	$4.7M
T1005	Respite care services, up to 15 minutes	3	20	590	$90	$407.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha One	ME	Case Management Agency	$0	$121.3M
Port Resources	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$82.9M
The Opportunity Alliance	ME	Mental Illness Community Based Residential Treatment Facility	$0	$50.6M
Serenity Residential Care, LLC	ME	In Home Supportive Care Agency	$0	$34.4M
Noreast Home Care, LLC	ME	In Home Supportive Care Agency	$0	$24.7M
Center For Behavioral Health Me, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$536.2K	$20.1M
Connections For Kids	ME	Social Worker	$0	$13.8M
Vna Home Health & Hospice	ME	Home Health Agency	$227.2K	$10.4M
Standard Care, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.2M
Peace Residential Care LLC	ME	In Home Supportive Care Agency	$0	$7.9M

Community Home Health Care — Billing Profile & Reimbursement Data

Sign up for Community Home Health Care — Billing Profile & Reimbursement Data policy alerts

Community Home Health Care — Billing Profile & Reimbursement Data

Sign up for Community Home Health Care — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References