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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Healthkeeperz, Inc (NPI 1740406669)

Field	Value
Entity Type	Organization
Organization	Healthkeeperz, Inc
Address	509 W 3rd St
City	Pembroke
State	NC
ZIP	28372
Taxonomy	Home Health Agency
NPI Enumerated	April 18, 2007

Payer Source	Total Paid
Medicaid	$41.3M
Medicare	$0

Key Findings

HEALTHKEEPERZ, INC has no Medicare billing on file and is effectively a single-payer Medicaid provider, reporting $41.3M in lifetime Medicaid revenue with no recorded Medicare revenue. This concentration means analyses of its financial and operational footprint should focus on Medicaid program lines and waiver-related services rather than traditional Medicare clinical care.

Revenue is highly concentrated in a narrow set of service codes: the precomputed top three Medicaid codes account for 99.6% of this provider's total Medicaid revenue, indicating a business model built around a few high-volume/high-value service lines rather than a broad mix of Medicaid offerings. This concentration creates exposure to policy or rate changes for those specific codes.

T1016 is the dominant driver of volume and revenue: HEALTHKEEPERZ reported 241.3K claims for T1016 at $127 avg paid/claim and $30.6M revenue, representing 74.3% of the provider's Medicaid revenue. The provider ranks #1 of 231 in-state for T1016 (100th percentile; extreme outlier), signaling statewide market dominance in case management services delivered in 15-minute units.

T2041 is the second major revenue source with 62.8K claims at $144 avg paid/claim and $9M revenue, representing 21.9% of Medicaid revenue; the provider ranks #4 of 124 in-state (98th percentile; extreme outlier). This mix — substantial volumes for both T1016 and T2041 — suggests HEALTHKEEPERZ operates a large self-direction/supports brokerage and targeted case management platform for waiver populations.

S5165 (home modifications) contributes $1.4M (3.5% of Medicaid revenue) from 307 claims at $4670 avg paid/claim, and the provider ranks #4 of 14 in-state (77th percentile). Although S5165 is a much smaller share of revenue than T1016/T2041, the high average payment per service means home modifications are a notable ancillary revenue stream and reflect capacity to deliver capital-intensive, single-event services in addition to recurring case management.

Two additional codes show minimal impact: T1017 generated 657 claims and $155.7K (0.4% of Medicaid revenue) and ranks in the mid-to-lower range of providers, while T2040 shows 15 claims with $0 avg paid/claim and $0 revenue and is listed #3 of 3 in-state (0th percentile). These entries underline that the provider's Medicaid footprint is dominated by a few core service lines and that some plated service codes either receive no payment or are used only marginally.

From a competitive-standing perspective, HEALTHKEEPERZ is an apparent statewide leader for case management and supports-brokerage services: being an extreme outlier for T1016 and T2041 places it well above typical state volumes and peers, which would position the organization as a major participant in waiver-related case management markets within North Carolina. Analysts should interpret statewide rank and percentile data as evidence of market power in those service categories.

The provider’s NPI has been enumerated since 2007-04-18 (~19 years ago), indicating an established operational history; combined with the concentrated, high-volume coding pattern, this tenure suggests long-running specialization in managed support services and self-directed waiver administration rather than recent market entry or quick expansion into unrelated service lines.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	241,330	$130	$30.6M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	62,760	$140	$9M
S5165	Home modifications; per service	310	$4,670	$1.4M
T1017	Targeted case management, each 15 minutes	660	$240	$155.7K
T2040	Financial management, self-directed, waiver; per 15 minutes	20	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Healthkeeperz, Inc — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2040	Financial management, self-directed, waiver; per 15 minutes	3	10	380	$80	$1.6M
T1017	Targeted case management, each 15 minutes	155	220	1,700	$150	$1.3M
T1016	Case management, each 15 minutes	1	230	3,210	$110	$1.1M
S5165	Home modifications; per service	4	10	130	$4,330	$999.5K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	4	120	2,780	$150	$966.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthkeeperz, Inc	NC	Oxygen Equipment & Supplies (DME)	$0	$20M
Children's Health Of Carolina, PA	NC	Pediatrics Physician	$0	$18.2M
Cynthia Dial	NC	Home Health Agency	$0	$14.4M
Tender Hearts Homecare LLC	NC	Home Health Agency	$0	$12.8M
Chaparral Youth Services Ii	NC	Home Health Agency	$0	$9.5M
Caring Touch Home Health Care, LLC	NC	Home Health Agency	$0	$9.1M
Sandhill's Home Care LLC	NC	In Home Supportive Care Agency	$0	$7.4M

Healthkeeperz, Inc — Billing Profile & Reimbursement Data

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Healthkeeperz, 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