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.

Disability Services Of The Southwest, Inc (NPI 1700960580)

Field	Value
Entity Type	Organization
Organization	Disability Services Of The Southwest, Inc
Address	6243 Ih 10 West
City	San Antonio
State	TX
ZIP	78201
Taxonomy	Home Health Agency
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$303M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $303M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operator in available claims datasets. The absence of Medicare activity paired with large Medicaid volume suggests its business model and payer relationships are concentrated on state Medicaid and waiver programs rather than Medicare fee-for-service lines.

Revenue is highly concentrated in a small number of Medicaid codes: the precomputed top three codes account for 79.9% of this provider's Medicaid revenue, led by T2026 ($174.2M), H2032 ($36M), and 97124 ($32M). This concentration indicates that a handful of service lines drive the vast majority of the provider’s cash flow within Medicaid.

The code mix points to a core operation built around waiver-based habilitation and therapy services: T2026 (Specialized childcare, waiver; per diem) is the largest single revenue line, supported by high-volume activity therapy (H2032), therapeutic massage (97124), and related habilitation codes such as T2015 and G0176. Complementary codes for home-based therapy (G0151, G0153) and specialized modalities (S8940 equestrian/hippotherapy) imply a broad portfolio of hands-on, programmatic therapeutic services for Medicaid populations.

Competitive standing within Texas is dominant for multiple high-revenue codes: T2026 ranks #1 of 47 providers (100th percentile; extreme outlier) and 97124 ranks #1 of 41 providers (100th percentile; extreme outlier), while H2032 ranks #2 of 46 (98th percentile; extreme outlier). These top-state rankings indicate the provider is a major in-state player for waiver, activity therapy, and massage services, operating at volumes far above typical state peers.

Operational scale is reflected in claim volumes and per-claim payments for the highest lines: T2026 shows 1.3M claims at $138 avg paid/claim, H2032 shows 177.1K claims at $203 avg paid/claim, and 97124 shows 355.2K claims at $90 avg paid/claim. Those absolute claim counts and sustained average payments imply high throughput and program capacity to deliver frequent, recurring services under Medicaid waiver and therapy programs.

Not all code lines are extreme outliers — the provider has a mixed profile where some services appear typical in-state: S5125 ranks #494 of 1678 (71th percentile; typical, unremarkable volume) and E1399 ranks #8 of 58 (88th percentile; typical, unremarkable volume), while T2003 (non-emergency transportation) ranks #415 of 435 (5th percentile; typical, unremarkable volume). This indicates concentrated dominance in core habilitation and therapy services alongside more modest participation in ancillary DME and transportation codes.

The provider’s NPI was enumerated on 2006-10-25 (~20 years ago), and the combination of long tenure with $303M in Medicaid revenue suggests sustained participation and scale within Medicaid/waiver markets across multiple program years. That longevity, together with 100th-percentile positions on several high-revenue codes, points to an established operational footprint in Texas waiver and therapeutic service delivery.

Beyond the top three, the provider also shows a broad therapeutic mix that includes home-based PT/OT/SLP services (G0151, G0153, G0152 rank positions include #1 of 159 for G0151 and #1 of 3 for G0153) and session-based specialty therapies such as G0176 and S8940. This breadth reinforces a service-line strategy oriented to delivering both home health therapy and programmatic, waiver-funded habilitation and activity therapies rather than episodic medical procedures.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2026	Specialized childcare, waiver; per diem	1,262,630	$140	$174.2M
H2032	Activity therapy, per 15 minutes	177,100	$200	$36M
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…	355,150	$90	$32M
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)	136,390	$90	$11.6M
T2015	Habilitation, prevocational, waiver; per hour	104,990	$90	$9M
G0648	N/A	729,550	$10	$8.8M
S5125	Attendant care services; per 15 minutes	127,680	$50	$6.9M
97113	The provider instructs and supervises the patient on aquatic therapeutic exercises for one or more areas of the body for a period of 15 minutes.	34,900	$120	$4.1M
G0100	N/A	64,870	$60	$3.7M
S8940	Equestrian/hippotherapy, per session	40,470	$90	$3.6M

Showing 1–10 of 25

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

Disability Services Of The Southwest, Inc — 14 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2026	Specialized childcare, waiver; per diem	1	50	33,380	$180	$17.4M
S5125	Attendant care services; per 15 minutes	494	1,680	50,290	$60	$9.5M
T2015	Habilitation, prevocational, waiver; per hour	1	10	1,450	$200	$3.4M
H2032	Activity therapy, per 15 minutes	2	50	3,520	$170	$2.6M
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…	1	40	3,120	$100	$2.3M
T2022	Case management, per month	35	50	2,920	$180	$1.6M
T1016	Case management, each 15 minutes	3	20	940	$60	$1.2M
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)	1	30	2,990	$90	$1.2M
G0100	N/A	1	30	7,330	$70	$1.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	8	10	7,550	$30	$885.2K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as Disability Services Of The Southwest, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Directed Services In Texas, Inc.	TX	Supports Brokerage Agency	$0	$624M
Advance Hi-tech Nursing, Inc.	TX	Personal Care Attendant	$0	$399.4M
Ctw Home Health, LLC	TX	Home Health Agency	$0	$43.9M
Lone Star Ambulance, Inc	TX	Ambulance	$1.7M	$2.6M
Wesam Aziz	TX	Internal Medicine Physician	$665.5K	$0
Javier Roman-gonzalez	TX	Clinical Cardiac Electrophysiology Physician	$528.5K	$0
Renata Ford	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$103.6K	$0
Gary Maszak	TX	Cardiovascular Disease Physician	$95.7K	$0
Rachel Devoto	TX	Certified Registered Nurse Anesthetist	$15.4K	$0
John Nwankwo	TX	Anesthesiology Physician	$10.7K	$0

Disability Services Of The Southwest, 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