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 Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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.

Heritage Home Health Care Inc. (NPI 1831386697)

Field	Value
Entity Type	Organization
Organization	Heritage Home Health Care Inc.
Address	995 University Ave W #201
City	St Paul
State	MN
ZIP	55104
Taxonomy	Home Health Agency
NPI Enumerated	September 26, 2007

Payer Source	Total Paid
Medicaid	$66.7M
Medicare	$0

Key Findings

HERITAGE HOME HEALTH CARE INC. in ST PAUL (Home Health Agency) is effectively a single-payer Medicaid operator: there is no Medicare billing on file while total Medicaid revenue is $66.7M. This profile indicates the organization’s scale and market position are driven entirely by Medicaid-funded services rather than a mixed Medicare/Medicaid payer mix.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, and a single code, T1019, represents $63.3M or 94.9% of the $66.7M total. This concentration means most of the provider’s financial performance depends on a single service line.

The code mix (T1019 and S5130) points to a service model focused on non-skilled, per-15-minute personal care and homemaker supports rather than traditional skilled home health. T1019 is described as personal care services per 15 minutes and S5130 as homemaker service per 15 minutes; average payments per claim are $70 for T1019 and $32 for S5130, reflecting a high-volume, time-based delivery model.

Operational scale is substantial by claim volume: T1019 accounts for 904.8K claims and S5130 accounts for 106.3K claims. Those claim counts, paired with the per-claim average payments and the $63.3M/$3.4M revenue split, imply continuous, high-frequency delivery of short-interval personal care and homemaker visits.

For T1019 this provider is a statewide leader: it ranks #5 of 225 providers in-state and sits in the 98th percentile, described as an "extreme outlier, far above typical state volume for this code." That ranking signals dominant in-state market share for per-15-minute personal care compared with peers.

S5130 also shows elevated in-state standing (rank #7 of 236, 97th percentile) but is characterized as a "typical, unremarkable volume for this code." In other words, the provider ranks highly for homemaker services relative to peers, yet the dataset labels that activity as not unusually concentrated compared with T1019.

The provider’s NPI was enumerated on 2007-09-26 (~19 years ago), indicating long tenure in the market. This longevity likely reflects sustained operational capacity to manage very large claims volumes and multi-year relationships with Medicaid payers or care managers.

Concentration and payer dependence create identifiable operational risk: with no Medicare billing on file and roughly 95% of Medicaid revenue tied to T1019, the provider’s revenue is sensitive to changes in Medicaid per-15-minute reimbursement, eligibility rules, care-plan authorization, or coding guidance. The 100.0% top-3-code concentration underscores limited service diversification within its current billing profile.

Medicaid: Complete Services Breakdown

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

2 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…	904,750	$70	$63.3M
S5130	Homemaker service, nos; per 15 minutes	106,320	$30	$3.4M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Heritage Home Health Care Inc. — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

2 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…	5	230	37,580	$70	$8.6M
S5130	Homemaker service, nos; per 15 minutes	7	240	7,130	$40	$1M

Nearby Providers

Other providers in the same ZIP code as Heritage Home Health Care Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amherst H. Wilder Foundation	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$33.9M
Fairview Express Care	MN	Specialist	$0	$33.1M
Allegiance Ability Assistance LLC	MN	Home Health Agency	$0	$25.9M
Pathways Counseling Center, Inc.	MN	Rehabilitation Psychologist	$0	$23.3M
Catholic Charities Of The Archdiocese Of St Paul & Mpls	MN	Case Management Agency	$0	$17.5M
Twin Town Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$16.7M
Caremate Home Health Care, Inc.	MN	Home Health Agency	$0	$14.2M
Ea Bilingual Services, Inc.	MN	Interpreter	$0	$12.6M
Transitions Homes Corporation	MN	Substance Abuse Rehabilitation Facility	$0	$11.8M
Fairview Express Care	MN	General Practice Physician	$0	$11.4M

Heritage Home Health Care Inc. — Billing Profile & Reimbursement Data

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Heritage Home Health Care 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