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

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

Guardiantrac. LLC (NPI 1710176151)

Field	Value
Entity Type	Organization
Organization	Guardiantrac. LLC
Address	215 Broadus St
City	Sturgis
State	MI
ZIP	49091
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 22, 2007

Payer Source	Total Paid
Medicaid	$2.7B
Medicare	$0

Key Findings

GUARDIANTRAC. LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $2.69B in lifetime Medicaid revenue. Its NPI was enumerated on 2007-10-22 (approximately 19 years ago), indicating a long-standing presence in the Medicaid market rather than a recent entrant.

Revenue is highly concentrated in a small set of personal-care and attendant-service codes: the top three Medicaid codes (T1019, S5135, S5125) account for 65.6% of the provider's total Medicaid revenue. Specifically, T1019 generated $829.6M (31.2% of Medicaid revenue), S5135 generated $647.6M (24.4%), and S5125 generated $264.4M (10.0%), showing dependence on time-based in-home care and attendant services.

The code mix indicates large-scale home- and community-based services (HCBS) and long-term services and supports (LTSS) operations: dominant codes are T1019 (personal care services, per 15 minutes), S5135 (companion care, per 15 minutes), S5125 (attendant care, per 15 minutes) and multiple waiver and habilitation codes such as H2015 and T2027. Many high-revenue codes are billed per 15 minutes or per diem, which implies an operational model built around high-frequency, time-based caregiver visits and substantial direct care staffing.

GUARDIANTRAC. LLC is a dominant in-state provider for multiple Medicaid codes based on rank and percentile. Examples include T1019 (ranks #1 of 63 providers in-state, 100th percentile; labeled an extreme outlier), H2015 (ranks #1 of 614, 100th percentile; extreme outlier), and several other codes where it ranks #1 or near the top, indicating outsized market share for key HCBS services in Michigan.

Claim volumes underscore the operational scale: T1019 shows 12.4M claims, S5135 6.1M claims, S5125 4.1M claims, and S5130 5.9M claims, which together reflect millions of discrete service encounters. These volumes signal a large distributed workforce and logistics footprint to deliver frequent, short-interval services across the state, and the presence of many codes where GUARDIANTRAC is the only listed in-state provider reinforces that footprint.

Several additional Medicaid codes are statistical outliers or notably above typical state volume beyond the top three, which diversifies the provider's Medicaid footprint while maintaining concentration. Examples include T2027 ($79.6M, 3.0% of revenue; ranks #1 of 39 providers, 100th percentile, extreme outlier), T1005 ($30.1M, 1.1% of revenue; ranks #2 of 106 providers, 99th percentile, extreme outlier), T2025 ($23.6M, 0.9% of revenue; ranks #1 of 34, 100th percentile, extreme outlier), and S0215 ($3.4M, 0.1% of revenue; ranks #1 of 107, 100th percentile, extreme outlier).

Because 65.6% of Medicaid revenue is concentrated in the top three codes and there is no Medicare revenue, this provider carries both code-level and payer-concentration exposure from a payer perspective. Analysts should treat network and payment negotiations with GUARDIANTRAC as addressing a single large Medicaid counterparty whose financial performance will be sensitive to reimbursement and policy changes affecting personal-care, companion, and attendant-care service rates and waiver program rules.

Medicaid: Complete Services Breakdown

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

68 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…	12,381,340	$70	$829.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	6,109,390	$110	$647.6M
S5125	Attendant care services; per 15 minutes	4,067,950	$70	$264.4M
S5130	Homemaker service, nos; per 15 minutes	5,941,530	$40	$208M
H2015	Comprehensive community support services, per 15 minutes	2,264,750	$90	$201.6M
T2027	Specialized childcare, waiver; per 15 minutes	723,740	$110	$79.6M
S5126	Attendant care services; per diem	233,940	$290	$68.5M
T2013	Habilitation, educational, waiver; per hour	328,020	$160	$52.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	369,500	$100	$38.1M
T2040	Financial management, self-directed, waiver; per 15 minutes	426,850	$90	$37.6M

Showing 1–10 of 68

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Guardiantrac. LLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1	10	6,109,390	$110	$649.1M
S5125	Attendant care services; per 15 minutes	1	10	4,067,950	$60	$262.5M
S5130	Homemaker service, nos; per 15 minutes	1	10	5,941,530	$40	$208M
S5126	Attendant care services; per diem	1	10	233,940	$290	$68.6M
T2013	Habilitation, educational, waiver; per hour	1	10	328,020	$160	$52.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	1	10	426,850	$90	$37.6M
S5131	Homemaker service, nos; per diem	1	10	145,170	$230	$33.7M
T2019	Habilitation, supported employment, waiver; per 15 minutes	1	10	261,430	$90	$23.2M
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	60	2,340	$70	$19.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	1	10	185,390	$100	$19M

Showing 1–10 of 68

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adapt St. Joe, Inc	MI	Community/Behavioral Health Agency	$0	$29.1M
Michigan Agency With Choice	MI	In Home Supportive Care Agency	$0	$17.1M
Sturgis Hospital, Inc.	MI	Rural Acute Care Hospital	$0	$7.4M
Kathleen Bickle	MI	Foot & Ankle Surgery Podiatrist	$153.6K	$0
Arnold Parial	MI	Ophthalmology Physician	$144.9K	$0
Frederick Wiseman	MI	Foot & Ankle Surgery Podiatrist	$67K	$0
Christopher Bussema	MI	Foot & Ankle Surgery Podiatrist	$61.5K	$0

Guardiantrac. LLC — Billing Profile & Reimbursement Data

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Guardiantrac. 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