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.

Integrity Home Care, LLC (NPI 1821294521)

Field	Value
Entity Type	Organization
Organization	Integrity Home Care, LLC
Address	2131 E Primrose St
City	Springfield
State	MO
ZIP	65804
Taxonomy	Home Health Agency
NPI Enumerated	June 21, 2007

Payer Source	Total Paid
Medicaid	$115.7M
Medicare	$0

Key Findings

INTEGRITY HOME CARE, LLC reports $115.7M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid-focused) operation for the data available; the provider’s top three Medicaid codes account for 99.2% of its total Medicaid revenue, indicating extreme revenue concentration.

T1019 is the dominant revenue driver for this provider: it generated $103.3M (89.3% of the provider’s total Medicaid revenue) across 1.7M claims and ranks #6 of 1332 providers in-state (100th percentile; extreme outlier). This concentration shows the business is overwhelmingly centered on the service described by T1019 (personal care services, per 15 minutes, as part of an individualized plan of treatment).

S5150 and T1001 together make up the bulk of the remainder of Medicaid revenue: S5150 produced $5.9M (5.1%) across 98.8K claims and ranks #11 of 216 providers in-state (95th percentile; typical, unremarkable volume), while T1001 produced $5.5M (4.8%) across 114.8K claims and ranks #5 of 417 providers in-state (99th percentile; extreme outlier). These figures show a meaningful secondary emphasis on unskilled respite care and nursing assessments alongside the dominant personal care line.

The code mix — dominated by T1019 with sizable activity in T1001 and S5150 — suggests the provider operates principally as a high-volume personal care and support services agency under Medicaid waiver/long-term services frameworks, with substantial resources devoted to nursing assessment and respite services to support that personal care delivery. The T1019 description’s restriction (not for use to identify services by home health aide or CNA) underscores that billed services are positioned as individualized personal care rather than traditional Medicare home health.

From a competitive-stance perspective, the provider is a statewide leader for its core service lines: T1019 activity places it among the very highest-volume agencies in Missouri (rank #6 of 1332, 100th percentile; extreme outlier), and T1001 also ranks very highly (rank #5 of 417, 99th percentile; extreme outlier). S5150 activity is high but characterized as typical for its peer group (95th percentile), so dominance is concentrated in specific codes rather than uniformly across all home- and respite-care services.

The extreme concentration of revenue into a single code (T1019 at $103.3M / 89.3% of Medicaid revenue) combined with no Medicare business creates exposure to reimbursement, eligibility, or policy changes affecting that code or Medicaid waiver programs; the provider’s lack of Medicare billing also means limited payer diversification. These are material operational and financial considerations for payers or partners evaluating network or rate decisions.

The provider has an established operating history: NPI enumerated on 2007-06-21 (~19 years ago), consistent with its accumulation of $115.7M in Medicaid revenue over its lifetime and supporting the view that this is a long-tenured, specialized Medicaid home-care operator.

Smaller Medicaid-coded services are present but marginal to overall scale: S5130 generated $646.1K (0.6%), T1028 generated $325.1K (0.3%), and T2040 generated $3.6K (0.0%). These line items indicate additional homemaker, home assessment, and financial-management activity, but they represent only a minor share of the provider’s revenue base compared with its three top codes.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,665,660	$60	$103.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	98,760	$60	$5.9M
T1001	Nursing assessment / evaluation	114,810	$50	$5.5M
S5130	Homemaker service, nos; per 15 minutes	38,010	$20	$646.1K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	5,240	$60	$325.1K
T2040	Financial management, self-directed, waiver; per 15 minutes	20	$150	$3.6K

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

Integrity Home Care, LLC — 3 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	6	1,330	6,550	$80	$4.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	11	220	3,750	$60	$1.3M
T1001	Nursing assessment / evaluation	5	420	1,610	$50	$378.4K
S5130	Homemaker service, nos; per 15 minutes	9	90	3,300	$30	$317.1K
T2040	Financial management, self-directed, waiver; per 15 minutes	19	20	850	$70	$250.4K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	8	90	150	$90	$164.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Burrell, Inc.	MO	Community/Behavioral Health Agency	$0	$758.9M
Phoenix Home Care, LLC	MO	Nursing Care Agency	$0	$199.5M
Phoenix Home Care, LLC	MO	In Home Supportive Care Agency	$0	$149M
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$64.5M
Preferred Family Healthcare, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23M
Premier Home Health Care, Inc.	MO	Home Health Agency	$0	$12.1M
Burrell, Inc.	MO	Community/Behavioral Health Agency	$0	$9.1M
2gethertech, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.5M
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$6.6M
Easter Seals Midwest	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.7M

Integrity Home Care, LLC — Billing Profile & Reimbursement Data

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Integrity Home Care, 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