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.

Consumer Directed Services In Texas, Inc. (NPI 1801027404)

Field	Value
Entity Type	Organization
Organization	Consumer Directed Services In Texas, Inc.
Address	6243 Ih 10 West
City	San Antonio
State	TX
ZIP	78201
Taxonomy	Supports Brokerage Agency
NPI Enumerated	July 30, 2009

Payer Source	Total Paid
Medicaid	$624M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and $624M in Medicaid revenue, making it effectively a single-payer (Medicaid) operation in the available claims data. Analysts should treat performance and risk as Medicaid-centric rather than split across Medicare/Medicaid lines.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 74.8% of total Medicaid revenue. Those top drivers are T2016 (49.0%, $305.5M), T1019 (20.5%, $127.8M), and H2015 (5.3%, $33.1M), indicating most dollars are tied to a few waiver/community service lines.

The code mix and descriptions point to an operation focused on home- and community-based services and waiver supports rather than traditional clinical care. High-revenue codes include T2016 (habilitation, residential, waiver; per diem), T1019 (personal care services, per 15 minutes), H2015 (comprehensive community support services, per 15 minutes), plus T1005 (respite care) and T2040 (financial management, self-directed), collectively signaling a business model centered on HCBS habilitation, personal/respite care, and self-directed waiver administration.

This provider is a dominant statewide player for several waiver and community-support codes: T1019 is an extreme outlier (1.7M claims, $77 avg paid/claim) and ranks #2 of 1050 providers in-state (100th percentile), H2015 ranks #1 of 116 providers in-state (100th percentile) and is labeled an extreme outlier, and T2016 ranks #3 of 109 providers in-state (98th percentile) and is notably above typical state volume. Those ranks and percentiles indicate market leadership in multiple Medicaid service lines.

Claim volumes and unit rates show a mix of high throughput and variable payment levels across services: T1019 reports 1.7M claims at $77 avg paid/claim, T2016 shows 459.4K claims at $665 avg paid/claim, and H2015 has 367.8K claims at $90 avg paid/claim. The combination of very large claim counts for time-based personal-care codes and high per-diem payments for residential habilitation suggests operational scale in both high-frequency in-home visits and higher-cost per-diem residential waiver placements.

Beyond the top three, the provider holds top statewide ranks on multiple additional codes, reinforcing breadth across waiver administrative and respite categories. Examples include S9125 (156.8K claims, $132 avg, $20.7M revenue, ranks #1 of 16 in-state), G0226 (70.9K claims, $204 avg, $14.5M revenue, ranks #1 of 14 in-state), and M0209 (8.4K claims, $187 avg, $1.6M revenue, ranks #1 of 10 in-state), which together show dominance in specific ancillary service lines and program support areas.

The provider taxonomy (Supports Brokerage Agency) plus strong performance on T2040 (financial management, self-directed, 141.5K claims, $154 avg, $21.8M revenue) and related codes implies a significant role in self-directed waiver administration and consumer-directed payment/financial-management services. This suggests its operations likely emphasize brokerage, enrollment/plan support, and fiscal management functions tied to participant-directed waiver models.

The NPI was enumerated 2009-07-30 (~17 years ago), indicating a long-tenured presence in the Texas Medicaid market. Given the tenure combined with very large claim volumes and multiple top statewide ranks, the provider appears to be an established, high-capacity operator within Texas waiver and community-support services.

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	459,410	$670	$305.5M
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…	1,660,080	$80	$127.8M
H2015	Comprehensive community support services, per 15 minutes	367,760	$90	$33.1M
T1005	Respite care services, up to 15 minutes	367,290	$90	$33.1M
M0355	N/A	17,120	$1,500	$25.6M
T2040	Financial management, self-directed, waiver; per 15 minutes	141,550	$150	$21.8M
S9125	Respite care, in the home, per diem	156,830	$130	$20.7M
G0226	N/A	70,950	$200	$14.5M
G0749	N/A	28,550	$490	$14M
M0361	N/A	7,930	$850	$6.8M

Showing 1–10 of 36

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

Consumer Directed Services In Texas, Inc. — 12 of 25 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	1,657	1,680	50,290	$60	$9.5M
T2016	Habilitation, residential, waiver; per diem	3	110	6,810	$200	$8.1M
M0355	N/A	6	10	17,420	$290	$6.2M
S9125	Respite care, in the home, per diem	1	20	18,690	$100	$3.5M
M0361	N/A	6	10	9,410	$190	$3.2M
G0226	N/A	1	10	2,550	$200	$2.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	4	40	4,490	$30	$2.5M
G0749	N/A	4	20	8,140	$180	$2.2M
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…	2	1,050	23,280	$30	$1.8M
T1013	Sign language or oral interpretive services, per 15 minutes	3	30	210	$630	$1.5M

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Consumer Directed Services In Texas, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advance Hi-tech Nursing, Inc.	TX	Personal Care Attendant	$0	$399.4M
Disability Services Of The Southwest, Inc	TX	Home Health Agency	$0	$303M
Ctw Home Health, LLC	TX	Home Health Agency	$0	$43.9M
Lone Star Ambulance, Inc	TX	Ambulance	$1.7M	$2.6M
Wesam Aziz	TX	Internal Medicine Physician	$665.5K	$0
Javier Roman-gonzalez	TX	Clinical Cardiac Electrophysiology Physician	$528.5K	$0
Renata Ford	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$103.6K	$0
Gary Maszak	TX	Cardiovascular Disease Physician	$95.7K	$0
Rachel Devoto	TX	Certified Registered Nurse Anesthetist	$15.4K	$0
John Nwankwo	TX	Anesthesiology Physician	$10.7K	$0

Consumer Directed Services In Texas, Inc. — Billing Profile & Reimbursement Data

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Consumer Directed Services In Texas, 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