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

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

Havenwood Caregiver Services Of Idaho, LLC (NPI 1841798857)

Field	Value
Entity Type	Organization
Organization	Havenwood Caregiver Services Of Idaho, LLC
Address	2417 N Cole Rd
City	Boise
State	ID
ZIP	83704
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	January 24, 2018

Payer Source	Total Paid
Medicaid	$10.7M
Medicare	$0

Key Findings

HAVENWOOD CAREGIVER SERVICES OF IDAHO, LLC reports no Medicare billing on file and $10.7M in lifetime Medicaid revenue, making its commercial/fee-for-service Medicare exposure effectively nil and its public-payer footprint concentrated in Medicaid. With no Medicare claims to analyze, all operational and competitive observations should be read as Medicaid-centric.

Revenue is highly concentrated in a narrow set of service codes: the top three Medicaid codes (T1019, S5125, S5130) together account for 99.9% of the provider's Medicaid revenue. Individually these codes generate $6.6M (T1019), $2.3M (S5125), and $1.9M (S5130) of the $10.7M total, which indicates that nearly all Medicaid receipts are tied to per-15-minute personal care, attendant care, and homemaker services.

The code mix aligns with an in-home supportive care business model focused on hands-on, non-skilled personal supports billed in short time increments: T1019 (personal care services, per 15 minutes), S5125 (attendant care services, per 15 minutes), and S5130 (homemaker service, per 15 minutes). This pattern suggests operations oriented toward high-volume direct care visits and time-based staffing rather than episodic skilled nursing or facility-based services, with only a trace of nursing assessment activity (T1001).

Unit economics show reliance on high volume at modest per-claim payments: T1019 recorded 83.7K claims at $79 avg paid/claim, S5125 recorded 23.1K claims at $98 avg paid/claim, and S5130 recorded 41.2K claims at $45 avg paid/claim. These figures imply the organization scales revenue by aggregating many short-duration encounters rather than by high-dollar single encounters, which makes margins sensitive to wage and travel costs for caregivers.

Competitive standing within Idaho is mixed by code: T1019 ranks #6 of 101 providers (95th percentile) but is characterized in the data as a "typical, unremarkable volume for this code," while S5125 ranks #9 of 44 (81th percentile) and S5130 ranks #13 of 77 (84th percentile) and both are also labeled "typical, unremarkable volume for this code." These rankings indicate the provider is among the higher-volume billers for some in-home personal care codes in-state, yet the supplied plain-English labels suggest its volumes fall within expected ranges for this service line rather than representing extreme outlier behavior.

Operational exposure is concentrated: because the top three codes produce 99.9% of Medicaid revenue, any policy, rate or authorization change affecting T1019, S5125, or S5130 would materially affect overall revenue. The provider’s dependence on per-15-minute reimbursement further ties financial performance to authorization levels and documented service minutes.

The provider’s NPI was enumerated on 2018-01-24 (~8 years ago), indicating multiple years of operations under the current enrollment and a demonstrated ability to sustain a Medicaid-focused care model over time. This tenure supports interpretation of the observed billing mix as an established operating pattern rather than a short-term fluctuation.

Other billed activity is minimal: T1001 (nursing assessment / evaluation) accounts for $11.3K (0.1% of Medicaid revenue), 183 claims, and ranks #26 of 45 providers (43th percentile) and is described as a "typical, unremarkable volume for this code." This confirms nursing assessment is a very small adjunct to the provider’s principal personal-care and homemaker services rather than a core revenue stream.

Medicaid: Complete Services Breakdown

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

4 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…	83,690	$80	$6.6M
S5125	Attendant care services; per 15 minutes	23,080	$100	$2.3M
S5130	Homemaker service, nos; per 15 minutes	41,220	$50	$1.9M
T1001	Nursing assessment / evaluation	180	$60	$11.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Havenwood Caregiver Services Of Idaho, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	9	40	5,180	$110	$2.3M
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	100	11,400	$80	$2M
S5130	Homemaker service, nos; per 15 minutes	13	80	12,220	$20	$537.5K
T1001	Nursing assessment / evaluation	26	50	260	$60	$77K

Nearby Providers

Other providers in the same ZIP code as Havenwood Caregiver Services Of Idaho, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Full Circle Health, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$53.3M
Community Connections, Inc	ID	Case Management Agency	$0	$30M
K A Health Services LLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
County Of Ada	ID	Land Ambulance	$2M	$11.4M
Developmental Concepts, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$13.2M
Pathways Of Idaho, LLC	ID	Community/Behavioral Health Agency	$0	$12M
Living Independently Forever, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Community Partnerships Of Idaho, Inc.	ID	Developmental Disabilities Clinic/Center	$0	$7.6M
All Horizons Inc	ID	Mental Health Counselor	$0	$6.7M
Ascent Behavioral Health Services	ID	Community/Behavioral Health Agency	$0	$4.7M

Havenwood Caregiver Services Of Idaho, LLC — Billing Profile & Reimbursement Data

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Havenwood Caregiver Services Of Idaho, 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