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    OpenPayerNPI Medicare & MedicaidSalt Lake Homecare
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    Salt Lake Homecare — Billing Profile & Reimbursement Data

    NPI 1790182814 · Salt Lake City, UT · Home Health Agency

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    Salt Lake Homecare is a home health agency provider located in Salt Lake City, Utah. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSalt Lake Homecare
    Address180 E 2100 S
    CitySalt Lake City
    StateUT
    ZIP84115
    TaxonomyHome Health Agency
    NPI EnumeratedDecember 4, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.7M
    Medicare$0

    Key Findings

    This provider shows no Medicare billing on file, indicating an effectively single-payer footprint focused on Medicaid rather than a mixed Medicare/Medicaid business model. Lifetime Medicare revenue is absent while total Medicaid revenue is $8.7M, so all analyzed clinical billing and competitive positioning should be interpreted through the Medicaid lens.

    Revenue is highly concentrated in a narrow set of personal-care home health services: the precomputed top three Medicaid codes account for 100.0% of this provider's Medicaid revenue. The two dominant codes are S9122 and T1021, and they drive the bulk of revenue and operational focus for the agency.

    S9122 is the single largest revenue driver with 64K claims, $72 avg paid/claim, and $4.6M revenue, which is reported as 53.0% of this provider's total Medicaid revenue. Statewide this provider ranks #2 of 11 for S9122 and is placed in the 90th percentile; the dataset characterizes this volume as typical and unremarkable despite the high rank, suggesting strong participation on this code without being an extreme outlier.

    T1021 is the second major code with 79.8K claims, $49 avg paid/claim, and $3.9M revenue (45.0% of this provider's total Medicaid revenue). The provider ranks #5 of 41 in-state for T1021 and is in the 90th percentile; again the record labels this as typical, indicating sizable but not anomalous billing intensity for per-visit aide services.

    T1001 (nursing assessment / evaluation) appears only as a minor contributor with 3.1K claims, $58 avg paid/claim, and $177.4K revenue, representing 2.0% of Medicaid revenue. That code ranks #16 of 65 providers in-state and falls in the 77th percentile with typical volume, which indicates limited investment in skilled nursing assessment relative to aide services.

    The code mix (S9122 and T1021 dominating, T1001 minimal) signals an operational profile centered on labor-intensive home health aide or certified nurse assistant care rather than a broad set of skilled clinical services or therapy lines. The near-absence of other codes in the top three suggests the agency’s business model is concentrated on personal-care visits and hourly aide services rather than diversified clinical episodes.

    With an NPI enumerated on 2014-12-04 (~12 years ago), the provider has an established tenure in the market; that duration combined with high-volume aide billing implies operational scale in home-based personal care within Utah, even though the activity is described as typical when benchmarked against peers. The statewide ranks (e.g., #2 of 11 and #5 of 41) show a competitive position that is meaningful on key aide codes without being flagged as statistically extreme across the measured metrics.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour64,050$70$4.6M
    T1021Home health aide or certified nurse assistant, per visit79,840$50$3.9M
    T1001Nursing assessment / evaluation3,060$60$177.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Utah median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1021Home health aide or certified nurse assistant, per visit54010,290$60$1.7M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour2105,040$80$1.7M
    T1001Nursing assessment / evaluation1670700$80$603.4K

    Nearby Providers

    Other providers in the same ZIP code as Salt Lake Homecare, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abs Utah, P.C.UTCommunity/Behavioral Health Agency$0$197.1M
    Acorn Care LLCUTIn Home Supportive Care Agency$0$28.3M
    Rathburn Healthcare LLCUTHome Health Agency$0$19.1M
    Granite School DistrictUTLocal Education Agency (LEA)$0$10.7M
    Norco, Inc.UTDurable Medical Equipment & Medical Supplies$0$8M
    City Of South Salt LakeUTLand Ambulance$93.1K$6.7M
    Care Advocates LLCUTCase Management Agency$0$6.2M
    Advocates For Independence LLCUTCase Management Agency$0$5.9M
    Discovery House Utah, Inc.UTMethadone Clinic$132.4K$4.7M
    Duramed LLCUTDurable Medical Equipment & Medical Supplies$0$4.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Utah Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Salt Lake Homecare — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah