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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

We Care Agency, Inc. (NPI 1740670942)

Field	Value
Entity Type	Organization
Organization	We Care Agency, Inc.
Address	6200 Seagull St Ne Ste C
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	January 27, 2015

Payer Source	Total Paid
Medicaid	$60.1M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and reported Medicaid revenue totals $60.1M, indicating the organization’s entire documented billing footprint in this dataset is driven by Medicaid contracts and services. Analysts should treat Medicare-related comparisons as not applicable for this entity.

Revenue is highly concentrated in a very small set of service codes: the top three Medicaid codes account for 98.8% of the provider’s Medicaid revenue, with 99509 at $30.3M (50.4%), T1019 at $25M (41.6%), and G9006 at $4.1M (6.8%). This concentration makes the provider’s topline sensitive to reimbursement, utilization, or policy changes that affect those specific service lines.

The code mix and descriptions indicate an operational focus on in-home personal care and ADL support: 99509 (home visits for ADLs/self-care) and T1019 (personal care services per 15 minutes) together drive the majority of revenue, while G9006 (coordinated care fee, home monitoring) supplies a smaller but material coordinated-care/home monitoring component. This pattern is consistent with a labor-intensive, community-based personal care and home-support model rather than episodic medical/specialty services.

Claim volumes reinforce the labor-intensive profile: 99509 has 101K claims, T1019 has 379.1K claims, and G9006 has 19K claims, reflecting high-frequency, time-based personal care delivery rather than low-frequency/high-cost procedures. The large claim counts for T1019 in particular suggest extensive use of per-15-minute personal care billing.

State-level competitive standing is solid but not dominant for the top codes: 99509 ranks #12 of 82 (86th percentile; typical, unremarkable volume), T1019 ranks #11 of 89 (89th percentile; typical, unremarkable volume), and G9006 ranks #13 of 79 (85th percentile; typical, unremarkable volume). These placements indicate the provider is an upper-tier participant in New Mexico for these services, but it is not among the very largest statewide leaders.

There are smaller ancillary lines and a notable statistical outlier at low dollar volume: G9012 generated $55.3K and ranks #2 of 10 (89th percentile; notably above typical state volume), suggesting the provider punches above typical volume for this specific case-management code despite its modest revenue contribution. Other small codes reported include S5110 ($526.3K), S9999 ($117.2K) and indicate additional, but limited, offerings like family training and sales-tax passthroughs.

The provider’s NPI was enumerated on 2015-01-27 (~11 years ago), so it has an established presence in the market. Given the ~$60.1M Medicaid footprint and sustained high volumes on time-based personal care codes, the organization appears to have scaled a focused in-home supportive care operation within roughly a decade of enumeration.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	101,040	$300	$30.3M
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…	379,140	$70	$25M
G9006	Coordinated care fee, home monitoring	18,960	$220	$4.1M
S5110	Home care training, family; per 15 minutes	1,510	$350	$526.3K
S9999	Sales tax	7,810	$20	$117.2K
G9012	Other specified case management service not elsewhere classified	1,130	$50	$55.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

We Care Agency, Inc. — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	12	80	20,990	$310	$16.4M
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…	11	90	92,900	$70	$13.3M
G9006	Coordinated care fee, home monitoring	13	80	3,840	$190	$2M
S5110	Home care training, family; per 15 minutes	6	40	340	$200	$202.4K
S9999	Sales tax	10	160	800	$10	$25.2K
G9012	Other specified case management service not elsewhere classified	2	10	160	$60	$20.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Heritage Home Healthcare Services, Inc.	NM	Home Health Agency	$0	$141.5M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$100M
The New Beginnings LLC	NM	Adult Day Care Clinic/Center	$0	$85.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Adelante Development Center, Inc.	NM	Personal Care Attendant	$0	$57M
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M
Tspc-nm, LLC	NM	Nursing Care Agency	$0	$28.9M

We Care Agency, Inc. — Billing Profile & Reimbursement Data

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We Care Agency, 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