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.

Texas Visiting Nurse Service, Ltd. (NPI 1790735827)

Field	Value
Entity Type	Organization
Organization	Texas Visiting Nurse Service, Ltd.
Address	814 E. Tyler Ave
City	Harlingen
State	TX
ZIP	78550
Taxonomy	Home Health Agency
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$138.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused home health operator: there is no Medicare billing on file and the provider reports $138.2M in total Medicaid revenue, indicating a single-payer (Medicaid) scale of operations rather than a mixed Medicare/Medicaid business model. The NPI was enumerated 2006-05-11 (~20 years ago), signaling long tenure in the market and an established presence in Texas home- and community-based services.

Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes by revenue account for 92.7% of this provider's total Medicaid revenue, driven primarily by S5125 ($79.9M, 57.8%), T2026 ($44M, 31.8%), and T1005 ($4.3M, 3.1%). This concentration suggests the organization’s financial performance is heavily dependent on attendant care, waiver-based specialized childcare, and respite services.

The code mix points to an operational focus on long-duration personal assistance and waiver services rather than traditional home health nursing or episodic skilled care: S5125 (Attendant care services; per 15 minutes) accounts for $79.9M and 1.4M claims, and T2026 (Specialized childcare, waiver; per diem) contributes $44M across 281.8K claims, indicating large-scale delivery of attendant and waiver childcare services in community settings. T1005 (Respite care services, up to 15 minutes) further confirms a service lineup centered on hands-on personal support.

Competitive standing within Texas is strong on several core codes. The provider ranks #18 of 1678 for S5125 (99th percentile) and #9 of 564 for T1005 (99th percentile), positioning it as a dominant provider of attendant care and respite services statewide. For T2026 it ranks #4 of 47 (93th percentile), which is a high ranking among the smaller set of specialized childcare waiver providers.

Several codes are statistical outliers relative to in-state peers and warrant attention: S5125 is described as "notably above typical state volume for this code," and the provider also reports S5199 (Personal care item, nos, each) as rank #1 of 38 (100th percentile; extreme outlier, far above typical state volume for this code) with $192.9K revenue and 3K claims. These elevated positions suggest unusual scale or specialization in a small number of ancillary personal-care items and attendant services compared with other Texas providers.

While attendant and waiver childcare services dominate revenue, clinical therapy lines are small. For example, G0151 (services by a qualified physical therapist in the home health or hospice setting) shows 235 claims and $132.1K revenue and ranks #87 of 159 (46th percentile), indicating that skilled therapy is a peripheral revenue stream rather than a core service. This imbalance highlights the provider’s emphasis on personal-care and waiver service delivery over traditional home health therapy.

Concentration risk is material: because S5125, T2026, and T1005 together make up 92.7% of Medicaid revenue, any policy, rate, or utilization change impacting attendant care or waiver-based childcare/respite reimbursement could disproportionately affect the provider’s overall revenue. Monitoring state waiver policy and reimbursement trends for these specific codes should be a priority for payers and contracting teams.

Several additional Medicaid codes appear but contribute only small shares of revenue; for example, T1019 ($3.6M, 105K claims, ranks #161 of 1050, 85th percentile) and G0100 ($2.9M, 44.7K claims, ranks #4 of 25, 88th percentile) show the provider also delivers some personal care plan and screening services, but these are secondary to the dominant attendant and waiver childcare/respite lines.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	1,354,090	$60	$79.9M
T2026	Specialized childcare, waiver; per diem	281,760	$160	$44M
T1005	Respite care services, up to 15 minutes	98,850	$40	$4.3M
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…	105,020	$30	$3.6M
G0100	N/A	44,720	$70	$2.9M
T2017	Habilitation, residential, waiver; 15 minutes	29,070	$60	$1.6M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	2,060	$620	$1.3M
S5199	Personal care item, nos, each	3,010	$60	$192.9K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	6,260	$30	$175.3K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	240	$560	$132.1K

Showing 1–10 of 15

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

Texas Visiting Nurse Service, Ltd. — 3 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2026	Specialized childcare, waiver; per diem	4	50	33,380	$180	$17.4M
S5125	Attendant care services; per 15 minutes	18	1,680	50,290	$60	$9.5M
T2017	Habilitation, residential, waiver; 15 minutes	19	60	19,340	$80	$3M
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	26	40	3,120	$100	$2.3M
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…	161	1,050	23,280	$30	$1.8M
G0100	N/A	4	30	7,330	$70	$1.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	7	10	7,550	$30	$885.2K
T1005	Respite care services, up to 15 minutes	9	560	8,490	$50	$842.3K
G0648	N/A	27	30	9,580	$10	$756.3K
D9999	N/A	18	20	40	$390	$298.2K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Texas Visiting Nurse Service, Ltd., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Primary Home Care, Inc	TX	Home Health Agency	$0	$161.5M
Agua Cristalina Home Care, LLC	TX	Home Health Agency	$0	$108.1M
Apc Home Health Service, Inc.	TX	Home Health Agency	$0	$97.1M
Mizpah Residential Care. Inc.	TX	Home Health Agency	$0	$45.5M
Su Clinica Familiar	TX	Federally Qualified Health Center (FQHC)	$0	$37.6M
Vicki Roy Home Health Service, LP	TX	Home Health Agency	$0	$29.5M
Nuevo Destino Primary Home Care LLC	TX	Personal Care Attendant	$0	$26.6M
Santa Cruz Health Services, Inc	TX	Home Health Agency	$0	$23.8M
Vhs Harlingen Hospital Company LLC	TX	General Acute Care Hospital	$0	$23.6M
All Texas Health Care, Inc.	TX	Personal Care Attendant	$0	$17.7M

Texas Visiting Nurse Service, Ltd. — Billing Profile & Reimbursement Data

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Texas Visiting Nurse Service, Ltd. — 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