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.

Epic Health Services, Inc. (NPI 1790926574)

Field	Value
Entity Type	Organization
Organization	Epic Health Services, Inc.
Address	1349 Empire Central Dr Ste 516
City	Dallas
State	TX
ZIP	75247
Taxonomy	Home Health Agency
NPI Enumerated	March 9, 2009

Payer Source	Total Paid
Medicaid	$75M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused home health operator: there is no Medicare billing on file and the lifetime Medicaid revenue on record is $75M, so reimbursements are concentrated in the Medicaid program rather than split across Medicare and Medicaid. The absence of any Medicare entries suggests limited engagement with Medicare home health or skilled nursing revenue streams.

Revenue for EPIC HEALTH SERVICES, INC. is extremely concentrated: the precomputed top three Medicaid codes account for 97.7% of the provider's total Medicaid revenue, with a single code—T1000—accounting for the vast majority of that share (95.3%, $71.5M). That concentration indicates the provider’s financial performance is heavily dependent on continued payment for T1000 (156K claims, $458 avg paid/claim).

The code mix points to a private-duty / independent nursing business model rather than a traditional Medicare home health model: T1000 (private duty nursing up to 15 minutes) dominates revenue, and other in-home nursing and respite codes such as S9124 (nursing care in the home; LPN, per hour) and T1005 (respite care services) appear at much smaller revenue levels. Therapy and speech codes (e.g., 92507, 97110, 97530, 92526) are present but collectively represent only minor shares of Medicaid revenue, consistent with an operation centered on ongoing nursing care rather than therapy-heavy episodic services.

Competitive standing for the core revenue driver is strong in-state: T1000 ranks #5 of 140 providers in Texas (97th percentile), marking EPIC as a top-tier biller for that specific Medicaid code. Notably, the dataset still characterizes the T1000 activity as "typical, unremarkable volume for this code," which suggests that while EPIC is high-ranked in the state, the underlying billing pattern aligns with common utilization profiles for private-duty nursing in the dataset.

Secondary codes contribute only marginally to overall revenue: 92507 generated $1.2M (1.6% of total Medicaid revenue) over 11.6K claims and ranks #262 of 1354 in-state (81th percentile; labeled "typical, unremarkable volume"), while H2015 contributed $612.7K (0.8%) and ranks #58 of 116 (50th percentile; "typical, unremarkable volume"). These positions indicate modest presence in speech/communication evaluation and community support services relative to statewide peers.

A number of supporting codes show mid-to-low statewide standing and small absolute revenue: S9124 (965 claims, $526 avg paid/claim, $507.6K; ranks #39 of 61, 37th percentile), T1005 ($477.6K, ranks #431 of 564, 24th percentile), and therapy codes like 97110 and 97530 (each ~0.4% of Medicaid revenue; 73th percentile) all reflect limited diversification away from private-duty nursing. This pattern reinforces that nursing services—not therapy bundles—are the operational core.

The provider has an established operating history: the NPI was enumerated on 2009-03-09 (~17 years ago), indicating a long-tenured presence in the Texas home health market. That tenure supports the interpretation of specialization in private-duty nursing services and may reflect stable relationships with Medicaid-managed care plans or local referral sources.

High single-code dependence creates operational and reimbursement risk: because 95.3% of Medicaid revenue comes from T1000 and the top three codes together account for 97.7% of Medicaid revenue, any policy, rate, or coding change affecting private-duty/independent nursing reimbursements could materially impact the provider’s revenue. Conversely, the small but present therapy and community-support billing lines represent potential areas for measured revenue diversification if the organization pursues broader service-line billing under Medicaid.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	156,040	$460	$71.5M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	11,610	$100	$1.2M
H2015	Comprehensive community support services, per 15 minutes	2,890	$210	$612.7K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	970	$530	$507.6K
T1005	Respite care services, up to 15 minutes	2,160	$220	$477.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	3,390	$100	$332.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,290	$100	$312.9K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	580	$140	$80.6K
S9152	Speech therapy, re-evaluation	110	$130	$13.3K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	10	$180	$2.2K

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

Epic Health Services, Inc. — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	5	140	29,740	$490	$24.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	39	60	2,200	$330	$2.5M
H2015	Comprehensive community support services, per 15 minutes	58	120	2,880	$100	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	262	1,350	1,860	$80	$872.4K
T1005	Respite care services, up to 15 minutes	431	560	8,490	$50	$842.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	440	1,620	1,070	$70	$333.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	56	120	450	$100	$304.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	356	1,320	1,070	$60	$211.1K
S9152	Speech therapy, re-evaluation	141	270	120	$110	$62.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	344	360	100	$140	$62K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Epic Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$85.4M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$67M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$62.7M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$47.5M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$44.2M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$41.9M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$34.3M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$34.3M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$30.1M
Epic Health Services, Inc.	TX	Home Health Agency	$0	$30M

Nearby Providers

Other providers in the same ZIP code as Epic Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lala Healthcare Solutions LLC	TX	Home Health Agency	$0	$40.8M
Propath Services, LLC	TX	Clinical Medical Laboratory	$6.9M	$16.8M
Real Time Transport	TX	Secured Medical Transport (VAN)	$0	$14M
Quantum Formula Diagnostics, LLC	TX	Clinical Medical Laboratory	$411K	$4.3K
Amanda Smith	TX	Clinical Psychologist	$138K	$0

Epic Health Services, Inc. — Billing Profile & Reimbursement Data

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Epic Health Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References