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

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

Palmer's Home Care, LLC (NPI 1770092892)

Field	Value
Entity Type	Organization
Organization	Palmer's Home Care, LLC
Address	701 Hillsdale Road
City	Columbia
State	MO
ZIP	65201
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	September 20, 2017

Payer Source	Total Paid
Medicaid	$82.3M
Medicare	$0

Key Findings

PALMER'S HOME CARE, LLC is effectively a Medicaid-focused provider with no Medicare billing on file; lifetime Medicare revenue is listed as none while total Medicaid revenue is $82.3M, indicating the organization operates almost exclusively within Medicaid-funded services. The provider’s NPI was enumerated in 2017-09-20 (~9 years ago), confirming a multi-year presence in the market that aligns with substantial accumulated Medicaid billing.

Revenue is highly concentrated in a very small set of service lines: the top 3 Medicaid codes account for 96.5% of the provider’s total Medicaid revenue, showing reliance on a narrow set of offerings to generate nearly all of its Medicaid income. This concentration suggests operations and financial performance are tightly linked to continued demand and reimbursement for those core habilitation and companion services.

The single largest revenue driver is T2016 (Habilitation, residential, waiver; per diem), which generated $45.1M and represents 54.8% of the provider’s Medicaid revenue. With 83.5K claims at an average paid per claim of $540, this code defines the provider’s business as primarily residential habilitation services and indicates a sizable per-diem residential population under waiver funding.

Day habilitation services (T2021 – Day habilitation, waiver; per 15 minutes) are an outsized part of the mix: T2021 produced $28.7M (34.9% of Medicaid revenue) from 128.3K claims and $224 average paid/claim, and the provider ranks #4 of 167 in-state at the 98th percentile. That rank and the precomputed label of “extreme outlier” mark PALMER'S HOME CARE as a major state-level operator in day habilitation relative to peers.

S5136 (Companion care, adult; per diem) contributes $5.6M (6.8% of Medicaid revenue) from 24.7K claims and $225 avg paid/claim, where the provider ranks #5 of 14 in-state at the 69th percentile. This positioning indicates companion care is a meaningful but secondary service line compared with the dominant habilitation codes, consistent with a residential and day-program service model.

Other billed codes such as T2029, T2001, T1002, A0110, and A0120 each account for small single-digit percentages of revenue (ranging from 1.1% down to 0.4%), and their in-state ranks fall in the typical-to-unremarkable range. These ancillary services (specialized equipment, non-emergency transportation, RN services, and transportation billing) appear to support the core residential and day habilitation operations rather than representing separate lines of business.

From a competitive-stance perspective, the provider is not a statewide dominant player for the largest residential habilitation code: T2016 ranks #41 of 193 (79th percentile), which is a solid but not extraordinary market position. By contrast, its #4 ranking on T2021 demonstrates concentrated leadership in day habilitation services and suggests competitive strength in that specific in-state segment.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	83,520	$540	$45.1M
T2021	Day habilitation, waiver; per 15 minutes	128,340	$220	$28.7M
S5136	Companion care, adult (e.g., iadl/adl); per diem	24,710	$230	$5.6M
T2029	Specialized medical equipment, not otherwise specified, waiver	3,450	$260	$892.5K
T2001	Non-emergency transportation; patient attendant/escort	2,530	$350	$886.9K
T1002	Rn services, up to 15 minutes	5,930	$70	$427K
A0110	Non-emergency transportation and bus, intra or inter state carrier	14,000	$30	$349.9K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1,110	$290	$317.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Palmer's Home Care, LLC — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	41	190	38,330	$450	$27M
S5136	Companion care, adult (e.g., iadl/adl); per diem	5	10	18,080	$240	$15.9M
T2021	Day habilitation, waiver; per 15 minutes	4	170	18,890	$180	$5.4M
T2029	Specialized medical equipment, not otherwise specified, waiver	15	40	1,720	$200	$1.4M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	39	120	730	$60	$585.2K
A0110	Non-emergency transportation and bus, intra or inter state carrier	18	80	4,520	$10	$331.1K
T2001	Non-emergency transportation; patient attendant/escort	39	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	35	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Palmer's Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Woodhaven	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$88.3M
Oats, Inc.	MO	Non-emergency Medical Transport (VAN)	$0	$23.4M
Independent Living Center Of Mid-missouri Inc.	MO	Specialist	$0	$14.2M
Ch Allied Services, Inc.	MO	General Acute Care Hospital	$0	$8.6M
Central Missouri Area Agency On Aging	MO	Voluntary or Charitable Agency	$0	$8.4M
Life Christain Outreach	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.1M
Surgical Center At Columbia Orthopaedic Group LLC	MO	Ambulatory Surgical Clinic/Center	$6.2M	$0
Mid-missouri Supported Living	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.3M
Woodhaven Learning Center	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.1M
Central Missouri Subcontracting Enterprises	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5M

Palmer's Home Care, LLC — Billing Profile & Reimbursement Data

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Palmer's Home Care, 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