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

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

Premier Healthcare Services, LLC (NPI 1780286781)

Field	Value
Entity Type	Organization
Organization	Premier Healthcare Services, LLC
Address	744 Horizon Ct Ste 115a
City	Grand Junction
State	CO
ZIP	81506
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 13, 2020

Payer Source	Total Paid
Medicaid	$82.8M
Medicare	$0

Key Findings

PREMIER HEALTHCARE SERVICES, LLC is effectively a Medicaid-only billing entity: there is no Medicare revenue on file while total Medicaid revenue is $82.8M. This makes the provider functionally single-payer in the available claims data rather than a dual-payer operation, concentrating its reimbursement exposure entirely in Medicaid.

Revenue is highly concentrated in a single service line: H0038 accounts for $79.9M (96.5% of this provider's total Medicaid revenue) and T1019 accounts for $2.9M (3.5%), and the precomputed top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue. This indicates virtually all billed Medicaid dollars flow through the top-listed codes.

The code mix points to an in-home supportive care model dominated by behavioral health peer-support services: H0038 (Self-help/peer services, per 15 minutes) is the primary revenue driver, while T1019 (Personal care services, per 15 minutes) represents a much smaller personal-care component. Together these codes suggest the organization primarily delivers peer/self-help supports in community or home settings with a secondary personal-care offering.

H0038 shows very large service volume: 272.8K claims with an average paid per claim of $293, producing $79.9M in revenue. The sheer claim count underscores a high-frequency, per-15-minute billing model for peer/self-help encounters rather than a small number of high-dollar episodic services.

In-state competitive standing for H0038 is strong: the provider ranks #6 of 276 providers for H0038 (98th percentile) and is described as notably above typical state volume for this code, marking it as a major regional provider of peer/self-help services. This rank indicates the provider is a top-tier performer statewide specifically on the H0038 service line.

T1019 performance is more modest: 37.5K claims at $77 avg paid/claim generating $2.9M, and the provider ranks #69 of 475 in-state (86th percentile) with typical, unremarkable volume for this code. This suggests the personal care line is a secondary business stream that is present but not a dominant competitive differentiator.

The provider’s NPI was enumerated on 2020-11-13 (~6 years ago); achieving $82.8M in Medicaid revenue within that window indicates rapid scale-up in Medicaid-billed services since enumeration. This tenure plus concentrated billing suggests operational focus and capacity built quickly around the peer-support model.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	272,790	$290	$79.9M
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…	37,530	$80	$2.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Premier Healthcare Services, LLC — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	6	280	2,330	$210	$4.8M
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…	69	480	5,200	$150	$3.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Care Partners, Inc.	CO	Family Medicine Physician	$0	$17.1M
Summitwest Care	CO	In Home Supportive Care Agency	$0	$15.1M
A Better Life Experience Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.8M
Home Care Of Grand Junction LLC	CO	In Home Supportive Care Agency	$0	$13.2M
Summitwest Care	CO	Home Health Agency	$0	$12.3M
Triumph Properties, LLC	CO	Assisted Living Facility	$0	$11.7M
Rocky Mountain Health Maintenance Organization, Inc	CO	Case Management Agency	$0	$9.1M
Premier Healthcare Services, LLC	CO	Home Health Agency	$0	$8.7M
Evolve Behavioral Services, LLC	CO	Behavior Analyst	$0	$3.8M
John Moore	CO	Clinical Cardiac Electrophysiology Physician	$248.2K	$530

Premier Healthcare Services, LLC — Billing Profile & Reimbursement Data

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Premier Healthcare Services, 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