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.

Help At Home, LLC (NPI 1790813095)

Field	Value
Entity Type	Organization
Organization	Help At Home, LLC
Address	1431 Southwest Blvd Ste 2
City	Jefferson City
State	MO
ZIP	65109
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicaid	$97M
Medicare	$0

Key Findings

HELP AT HOME, LLC is effectively a single-payer Medicaid provider: it has no Medicare billing on file and $97M in lifetime Medicaid revenue, indicating the organization’s entire reported federal revenue footprint is concentrated in Medicaid-funded services. This profile suggests the entity operates primarily within state waiver and community-based support programs rather than Medicare-covered acute or post-acute lines.

Revenue is extremely concentrated in a very small set of codes: the provider’s top three Medicaid codes account for 98.7% of its total Medicaid revenue, with T2016 alone representing the majority of receipts. That concentration signals a business model built around a narrow set of Medicaid-funded services rather than a broad mix of procedure-based billing.

T2016 (Habilitation, residential, waiver; per diem) is the dominant revenue driver: 188.6K claims, $428 avg paid/claim, $80.7M revenue (83.2% of Medicaid revenue) and a rank of #10 of 193 providers in-state (95th percentile; notably above typical state volume). This pattern is consistent with a residential I/DD habilitation operation that depends on per-diem occupancy and waiver authorizations, making bed census and program enrollment the primary operational levers for revenue.

T1019 (Personal care services, per 15 minutes) is the second-largest source: 82.6K claims, $174 avg paid/claim, $14.4M revenue (14.8% of Medicaid revenue), ranking #171 of 1332 providers in-state (87th percentile; typical, unremarkable volume). The presence of substantial T1019 billing indicates the provider supplements residential habilitation with personal-care time-based service delivery, consistent with an I/DD provider offering both residential supports and individualized in-home/community personal care.

S5108 (Home care training to home care client, per 15 minutes) and other ancillary codes contribute only modestly: S5108 generated 9K claims, $73 avg paid/claim, $658.8K revenue (0.7% of Medicaid revenue) and ranks #16 of 38 providers in-state (59th percentile; typical, unremarkable volume). Additional smaller lines—T2001, T2021, T1002, and A0120—collectively reflect complementary transportation, day habilitation, nursing, and transport services but do not materially alter the provider’s overall revenue concentration.

Competitive standing is mixed by service line: for residential habilitation (T2016) HELP AT HOME ranks as a major in-state participant (95th percentile, #10 of 193), whereas for personal care (T1019) it sits high in percentile terms but with many larger and smaller peers (87th percentile, #171 of 1332), indicating it is a meaningful but not dominant actor across all community-based service categories. These rank/percentile positions point to market strength in residential waiver services while remaining one of many providers offering time-based personal care.

The provider has long tenure in the NPI file, enumerated on 2007-03-01 (~19 years ago), indicating an established presence in Missouri’s Medicaid ecosystem. This duration supports the interpretation that HELP AT HOME is an experienced operator within state waiver and community-based intellectual/developmental disability service networks.

The extreme reliance on a narrow Medicaid code mix—98.7% of Medicaid revenue from the top three codes and $80.7M coming from T2016 alone—creates concentrated exposure to Medicaid reimbursement, waiver policy changes, and per-diem utilization trends. Operationally, this underscores that occupancy/authorization management for residential habilitation and the continued availability of personal-care billable minutes will drive near-term financial performance more than diversification across payers or procedure types.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	188,580	$430	$80.7M
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…	82,630	$170	$14.4M
S5108	Home care training to home care client, per 15 minutes	9,020	$70	$658.8K
T2001	Non-emergency transportation; patient attendant/escort	4,840	$100	$464.4K
T2021	Day habilitation, waiver; per 15 minutes	4,530	$100	$430.4K
T1002	Rn services, up to 15 minutes	8,940	$30	$286K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	540	$90	$50K

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

Help At Home, LLC — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	190	38,330	$450	$27M
T2021	Day habilitation, waiver; per 15 minutes	136	170	18,890	$180	$5.4M
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…	171	1,330	6,550	$80	$4.6M
S5108	Home care training to home care client, per 15 minutes	16	40	6,430	$70	$794.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	72	120	730	$60	$585.2K
T2001	Non-emergency transportation; patient attendant/escort	14	150	1,300	$150	$296.4K
T1002	Rn services, up to 15 minutes	20	200	1,720	$50	$194.4K

Nearby Providers

Other providers in the same ZIP code as Help At Home, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Missouri	MO	Rehabilitation Counselor	$0	$160.2M
Ssm Regional Health Services	MO	General Acute Care Hospital	$0	$20.8M
Rehab Specialty Medical, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.7M
Day Solutions, Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14M
Skillset LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.6M
Independent Living Resource Center, Inc.	MO	Home Health Agency	$0	$8.3M
Tiffany Burns	MO	Student in an Organized Health Care Education/Training Program	$0	$7.7M
County Of Cole	MO	Land Ambulance	$809.3K	$5.2M
Community Hospices Of America, LLC	MO	Community Based Hospice Care Agency	$0	$4M
Stephen Sides	MO	Rheumatology Physician	$2.9M	$0

Help At Home, LLC — Billing Profile & Reimbursement Data

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Help At Home, 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