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    OpenPayerNPI Medicare & MedicaidCircle Of Life Home Care Anishinaabe, LLC
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    Circle Of Life Home Care Anishinaabe, LLC — Billing Profile & Reimbursement Data

    NPI 1801920111 · Shoreview, MN · Home Health Agency

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    Circle Of Life Home Care Anishinaabe, LLC is a home health agency provider located in Shoreview, Minnesota. This profile covers 0 Medicare and 9 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
    OrganizationCircle Of Life Home Care Anishinaabe, LLC
    Address4100 Lexington Ave N Ste 150
    CityShoreview
    StateMN
    ZIP55126
    TaxonomyHome Health Agency
    NPI EnumeratedMarch 16, 2007

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

    Payer SourceTotal Paid
    Medicaid$184.6M
    Medicare$0

    Key Findings

    CIRCLE OF LIFE HOME CARE ANISHINAABE, LLC reports no Medicare billing on file and is effectively a single-payer Medicaid provider; lifetime Medicare revenue is listed as none while total Medicaid revenue is $184.6M. This means all measurable claims activity and revenue exposure in the dataset are concentrated in Medicaid programs rather than Medicare.

    Revenue concentration is extremely high: the top three Medicaid codes account for 93.5% of the provider's total Medicaid revenue. T1019 alone generates $129.9M (70.4% of Medicaid revenue), with S5125 adding $34.7M (18.8%) and S5130 contributing $7.9M (4.3%), indicating the business is highly dependent on a small set of service lines.

    The code mix (T1019, S5125, S5130) points to a core operational focus on personal care, attendant care, and homemaker services delivered in community or home settings. With T1019 defined as personal care services per 15 minutes and S5125/S5130 being attendant care and homemaker services per 15 minutes, the provider appears to operate primarily as a high-volume home- and community-based personal care agency rather than a clinical skilled home health agency.

    Competitive standing within Minnesota is dominant for the highest-volume codes. The provider ranks #1 of 225 in the state for T1019 and is described as an "extreme outlier, far above typical state volume for this code," and ranks #2 of 27 for S5125 at the 96th percentile, indicating it is a major regional player for attendant care services. S5130 ranks #5 of 236 at the 98th percentile, further supporting that the organization is unusually large among in-state peers for homemaker services.

    Other Medicaid codes show concentrated but smaller footprints: 99509 contributes $7M (3.8% of Medicaid revenue) and ranks #1 of 3 providers in-state, while G9006 and S5135 each contribute under 1% of revenue and present as typical, unremarkable volumes for their respective peer groups. These supplemental codes suggest the provider also bills for targeted home-visit ADL support and care coordination fees, but they do not materially diversify the revenue base.

    The provider’s NPI was enumerated on 2007-03-16 (approximately 19 years ago), indicating long tenure in the market. Sustained, high-volume Medicaid billing across multiple personal-care codes over many years suggests established operational capacity and embedded referral or enrollment relationships in the community.

    From a risk and operational planning perspective, the extreme revenue concentration in T1019 (70.4% of Medicaid revenue) creates exposure to policy, rate, or utilization shifts affecting that single service definition. Any changes in state payment rules, eligibility for personal care services, or audit/scope definitions for T1019 could disproportionately affect the provider’s overall financial position.

    Geographically and product-line focused strengths make this provider a key in-state resource for home- and community-based personal care programs. The combination of top in-state ranks and high percentiles for multiple domiciliary care codes positions the organization as a leading Medicaid personal-care provider in Minnesota, with limited to no participation in Medicare markets.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…1,584,170$80$129.9M
    S5125Attendant care services; per 15 minutes304,780$110$34.7M
    S5130Homemaker service, nos; per 15 minutes167,460$50$7.9M
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.24,660$290$7M
    H2015Comprehensive community support services, per 15 minutes21,780$140$3M
    G9006Coordinated care fee, home monitoring4,640$210$987.7K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes8,450$120$971.9K
    S9999Sales tax2,130$20$46.8K
    H2014Skills training and development, per 15 minutes400$90$36.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Minnesota median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…123037,580$70$8.6M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes22505,600$170$5.9M
    S5125Attendant care services; per 15 minutes2307,060$130$5.2M
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.1108,700$260$3.4M
    H2014Skills training and development, per 15 minutes1651906,230$120$2.2M
    S5130Homemaker service, nos; per 15 minutes52407,130$40$1M
    H2015Comprehensive community support services, per 15 minutes81402,300$110$700.1K
    G9006Coordinated care fee, home monitoring1102,010$200$461.6K
    S9999Sales tax110420$20$11.2K

    Nearby Providers

    Other providers in the same ZIP code as Circle Of Life Home Care Anishinaabe, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Respiratory, Inc.MNDurable Medical Equipment & Medical Supplies$0$204.3M
    Critical Care Services, IncMNAir Ambulance$4.3M$21.2M
    Fairview Pharmacy Services LLCMNHome Infusion Therapy Pharmacy$72.8K$20M
    Brandy UtterMNFamily Medicine Physician$82.7K$0
    Cynthia FraneMNFamily Medicine Physician$49.2K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Minnesota Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Circle Of Life Home Care Anishinaabe, LLC — 6 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota