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.

Wilcare Dallas, Inc. (NPI 1780721878)

Field	Value
Entity Type	Organization
Organization	Wilcare Dallas, Inc.
Address	624 Matlock Centre Cir. # A
City	Arlington
State	TX
ZIP	76015
Taxonomy	Personal Care Attendant
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$75.1M
Medicare	$0

Key Findings

WILCARE DALLAS, INC. is effectively single-payer at scale: there is no Medicare billing on file and the provider reports $75.1M in lifetime Medicaid revenue, indicating its operations are focused almost entirely on Medicaid-funded personal care services in Texas. This payer concentration means analytic comparisons should treat Medicaid as the primary commercial context for this entity’s activity.

Revenue is extremely concentrated in a small set of service codes: the precomputed top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with S5125 alone generating $70.9M (94.4% of Medicaid revenue). That level of concentration signals operational dependence on one dominant service line and exposure to any reimbursement or coding changes affecting that code.

The provider’s code mix and taxonomy (Personal Care Attendant) align: S5125 (attendant care services; per 15 minutes) is the dominant line with 1M claims and a $70 avg paid/claim, and the next two codes are T1005 (respite care services) with 59.3K claims and $50 avg paid/claim, and T1019 (personal care services) with 15.7K claims and $77 avg paid/claim. This mix suggests WILCARE DALLAS operates at scale delivering per-15-minute, home- and community-based direct-care services rather than facility-based or medical procedures.

Competitive standing on the primary code is strong statewide: for S5125 the provider ranks #40 of 1678 providers in-state and sits in the 98th percentile, a position described as notably above typical state volume for this code. That ranking indicates WILCARE DALLAS is a major player in attendant care within Texas and likely has a substantial share of billed attendant-care minutes compared with peers.

T1005 also shows elevated statewide presence while T1019 is unremarkable: T1005 ranks #22 of 564 providers in-state (96th percentile; notably above typical state volume), whereas T1019 ranks #641 of 1050 providers in-state (39th percentile; typical, unremarkable volume). This pattern implies the organization is competitively strong in attendant and respite services but not differentiated on the narrower personal-care code T1019.

The provider’s tenure is long-standing: the NPI was enumerated on 2007-01-30 (~19 years ago), which supports interpretation that the observed scale in S5125 and T1005 reflects an established business rather than a recent entrant or transient billing pattern. Longevity combined with high ranks suggests sustained specialization in Medicaid personal-care delivery.

Operational and financial risk considerations arise from concentrated service and payer exposure: with S5125 contributing $70.9M (94.4%) and the top three codes totaling 100.0% of Medicaid revenue, WILCARE DALLAS’s revenue profile could be sensitive to Medicaid policy, reimbursement rate adjustments, or prior-authorization changes for those specific codes. At the same time, the provider’s high state rankings for S5125 and T1005 indicate potential scale advantages and market share in Arlington/Texas that could support operational resilience within the attendant/respite care niche.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	1,012,620	$70	$70.9M
T1005	Respite care services, up to 15 minutes	59,280	$50	$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…	15,700	$80	$1.2M

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

Wilcare Dallas, Inc. — 2 of 3 codes 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	40	1,680	50,290	$60	$9.5M
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…	641	1,050	23,280	$30	$1.8M
T1005	Respite care services, up to 15 minutes	22	560	8,490	$50	$842.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia Medical Center Of Arlington Subsidiary LP	TX	General Acute Care Hospital	$0	$21.8M
Questcare Medical Services, PLLC	TX	Nurse Practitioner	$0	$13.1M
Upnt Surgery LLC	TX	Ambulatory Surgical Clinic/Center	$2.3M	$0
Thomas Eidson	TX	Phlebology Physician	$627.8K	$0
Thomas Purgason	TX	Internal Medicine Physician	$341.9K	$0
Jesse Even	TX	Orthopaedic Surgery Physician	$270.4K	$0
Ryan Murphy	TX	Orthopaedic Surgery of the Spine Physician	$120K	$0
Rajesh Gogia	TX	Diagnostic Radiology Physician	$98.5K	$0
Yordanos Habtegebriel	TX	Pulmonary Disease Physician	$86.4K	$0
Francisco Rodriguez	TX	Orthopaedic Surgery Physician	$85K	$0

Wilcare Dallas, Inc. — Billing Profile & Reimbursement Data

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Wilcare Dallas, 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