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.

A Plus Family Care LLC (NPI 1861439754)

Field	Value
Entity Type	Organization
Organization	A Plus Family Care LLC
Address	9514 Console Dr Ste 200
City	San Antonio
State	TX
ZIP	78229
Taxonomy	Home Health Agency
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicaid	$72.7M
Medicare	$0

Key Findings

This provider is effectively single-payer: Medicare billing is none (no Medicare billing on file) while total Medicaid revenue is $72.7M, indicating the organization’s entire reported Medicare/Medicaid footprint is driven by Medicaid flows. Analysts should treat this profile as Medicaid-centric when assessing payer risk and network leverage.

Revenue is highly concentrated in a single service line: the top three Medicaid codes account for 91.8% of this provider’s Medicaid revenue, with S5125 alone generating $62M (85.3% of this provider's total Medicaid revenue). That level of concentration implies operational dependence on attendant/paid personal care services and increases exposure to rate or policy changes that affect that code.

The code mix signals a core business focus on attendant and personal care rather than primarily skilled nursing: S5125 (attendant care services; per 15 minutes) is the dominant revenue driver, supported by T1019 (personal care services) and T1005 (respite care services). Together these codes indicate the agency operates at scale as a hands-on personal/attendant care provider under its Home Health Agency taxonomy, with ancillary therapy and rehabilitation services layered on.

For S5125 the provider is a top statewide performer: S5125 ranks #29 of 1678 providers in-state (98th percentile) and is characterized as notably above typical state volume for this code, reflecting a regional market-leading role for attendant care. This rank-level prominence for a single high-revenue code suggests the provider is a major competitor for Medicaid attendant-care business in Texas.

Therapy lines appear as secondary but meaningful revenue contributors: 97110 ($1.6M, 2.2% of Medicaid revenue) ranks #55 of 1319 providers in-state (96th percentile) and is noted as notably above typical state volume, while 97530 ($1.5M, 2.1%) ranks #108 of 1616 (93rd percentile). These therapy services are relatively high volume versus peers but remain a small share of total revenue compared with attendant care.

Not all codes are outsized; several personal and therapy codes reflect typical statewide volumes. T1019 (62.1K claims, $2.8M revenue) ranks #260 of 1050 providers (75th percentile) and is labeled typical/unremarkable, while 92507 ($1.5M, 2.1%) ranks #186 of 1354 (86th percentile) and is also described as typical. This mix indicates pockets of routine service delivery alongside the provider’s dominant attendant-care business.

Respite care is a relatively elevated specialty within the portfolio: T1005 (40K claims, $1.9M revenue) ranks #52 of 564 providers in-state (91st percentile), characterized as typical but toward the high end of the state distribution. The strong T1005 ranking suggests the provider maintains purposeful capacity for short-term/respite services that complements its attendant-care volume.

The NPI tenure indicates an established operation: the provider was enumerated on 2006-06-01 (~20 years ago), supporting the interpretation that its concentrated Medicaid footprint and high S5125 volume reflect a long-standing service model and potentially deep referral or contract relationships in the state Medicaid system.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	1,107,680	$60	$62M
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…	62,100	$50	$2.8M
T1005	Respite care services, up to 15 minutes	40,020	$50	$1.9M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	16,500	$100	$1.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	17,110	$90	$1.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	16,550	$90	$1.5M
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	5,240	$120	$618.6K
H2015	Comprehensive community support services, per 15 minutes	8,480	$70	$593.7K
S9152	Speech therapy, re-evaluation	450	$140	$65.1K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	280	$100	$27.9K

Showing 1–10 of 13

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

A Plus Family Care LLC — 2 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	29	1,680	50,290	$60	$9.5M
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…	260	1,050	23,280	$30	$1.8M
H2015	Comprehensive community support services, per 15 minutes	33	120	2,880	$100	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	186	1,350	1,860	$80	$872.4K
T1005	Respite care services, up to 15 minutes	52	560	8,490	$50	$842.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	108	1,620	1,070	$70	$333.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	16	120	450	$100	$304.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	55	1,320	1,070	$60	$211.1K
S9152	Speech therapy, re-evaluation	78	270	120	$110	$62.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	196	360	100	$140	$62K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as A Plus Family Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bexar County Hospital District	TX	General Acute Care Hospital	$0	$91.4M
Methodist Healthcare System Of San Antonio, Ltd., L.L.P.	TX	General Acute Care Hospital	$0	$68M
Casa Linda Homecare, Inc.	TX	Home Health Agency	$0	$39.7M
Axiom Home Health LLC	TX	Home Health Agency	$0	$39.2M
University Of Texas Health Science Center At San Antonio	TX	Internal Medicine Physician	$0	$35.5M
Easter Seal Rehabilitation Center	TX	Registered Dietitian	$0	$24.2M
Access Quality Therapy Services, LLC	TX	Home Health Agency	$0	$23.4M
Emergency Medicine Services Of Tx, PLLC	TX	Emergency Medicine Physician	$0	$15M
San Rafael Healthcare, Inc	TX	Home Health Agency	$0	$13.6M
Pathology Reference Laboratory, L.L.C.	TX	Clinical Medical Laboratory	$1.2M	$4.7M

A Plus Family Care LLC — Billing Profile & Reimbursement Data

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A Plus Family 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