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.

Miracle Hands Healthcare Services (NPI 1740428002)

Field	Value
Entity Type	Organization
Organization	Miracle Hands Healthcare Services
Address	12808 W Airport Blvd Ste 333
City	Sugar Land
State	TX
ZIP	77478
Taxonomy	Home Health Agency
NPI Enumerated	January 25, 2009

Payer Source	Total Paid
Medicaid	$65.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: it reports no Medicare billing on file and $65.9M in lifetime Medicaid revenue. The absence of Medicare activity means comparisons or risk exposure should be centered on Medicaid policy and reimbursement dynamics rather than dual-payer performance shifts.

Revenue is highly concentrated in a single service bucket: the precomputed top-3 codes account for 100.0% of the provider's Medicaid revenue, with T1000 alone representing the entirety of the $65.9M Medicaid total. This level of concentration indicates that changes to coverage, coding, or reimbursement for that code would have an outsized impact on the provider’s topline.

The provider’s Medicaid billing profile is dominated by T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes), with 94K claims and a reported $701 avg paid/claim generating the full $65.9M revenue. That mix points to an operational focus on private-duty/independent nursing services rather than a broad mix of home health episodes or therapy-dominant services.

On in-state competitiveness for T1000, the provider ranks #16 of 140 (89th percentile) but is described as having "typical, unremarkable volume for this code." This positions the provider as an upper-tier participant statewide for this specific fee code, but not an outlier or market-dominant incumbent.

The billing pattern for T1000 — a code defined for licensed private-duty nursing in up-to-15-minute units — combined with 94K claims implies a high-frequency model built around many short-unit encounters. Analysts should interpret the large claim count together with the $701 avg paid/claim as the operational engine behind the $65.9M Medicaid revenue, rather than a diverse procedural mix.

Concentration and payer mix create operational and reimbursement sensitivity: with 100.0% of Medicaid revenue tied to the top codes and no Medicare revenue to diversify cash flow, the provider is materially exposed to Medicaid rate changes, prior-authorization rules, and state-level program adjustments. This structural exposure elevates the financial impact of any policy or audit actions affecting private-duty nursing reimbursed under T1000.

The provider has an established footprint based on tenure: the NPI was enumerated 2009-01-25 (~17 years ago), indicating long-term presence in the Texas home health/private-duty nursing market. That longevity can reflect established referral channels and operational scale behind the reported 94K claims and $65.9M Medicaid revenue.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	94,040	$700	$65.9M

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

Miracle Hands Healthcare Services — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	16	140	29,740	$490	$24.4M

Nearby Providers

Other providers in the same ZIP code as Miracle Hands Healthcare Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Night-light After Hours Pediatrics PLLC	TX	Urgent Care Clinic/Center	$0	$35.1M
Incarnation Home Health Services,inc,	TX	Home Health Agency	$0	$32.3M
Med-source Healthcare Services, Inc	TX	Home Health Agency	$0	$28.4M
D & D Care Homes, Inc.	TX	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.6M
Quintessence Healthcare, Inc	TX	Home Health Agency	$0	$11.9M
Ncj Health System Inc	TX	Home Health Agency	$0	$11.8M
K2 Holistic Healthcare Services, Inc.	TX	Home Health Agency	$0	$11.1M
Immunogenomics LLC	TX	Clinical Medical Laboratory	$227.7K	$5.6M
Topblood LLC	TX	Clinical Medical Laboratory	$4.7M	$630
Grace Makhlouf	TX	Specialist	$3.1M	$0

Miracle Hands Healthcare Services — Billing Profile & Reimbursement Data

Sign up for Miracle Hands Healthcare Services — Billing Profile & Reimbursement Data policy alerts

Miracle Hands Healthcare Services — Billing Profile & Reimbursement Data

Sign up for Miracle Hands Healthcare Services — 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