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    OpenPayerNPI Medicare & MedicaidBasin Coordinated Healthcare,inc
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    Basin Coordinated Healthcare,inc — Billing Profile & Reimbursement Data

    NPI 1861466732 · Farmington, NM · Personal Care Attendant

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    Basin Coordinated Healthcare,inc is a personal care attendant provider located in Farmington, New Mexico. This profile covers 0 Medicare and 7 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
    OrganizationBasin Coordinated Healthcare,inc
    Address210 N Orchard Ave
    CityFarmington
    StateNM
    ZIP87401
    TaxonomyPersonal Care Attendant
    NPI EnumeratedFebruary 15, 2006

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

    Payer SourceTotal Paid
    Medicaid$79.7M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively a Medicaid-only operator, reporting Total Medicaid revenue of $79.7M. The absence of Medicare activity combined with a substantial Medicaid footprint means analyses should focus on state Medicaid program dynamics rather than cross-payer comparisons.

    The NPI was enumerated on 2006-02-15 (~20 years ago), indicating long tenure in the market. That duration supports a stable operating history and suggests established relationships with state Medicaid programs and referral sources.

    Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 98.5% of this provider's total Medicaid revenue. This concentration indicates the business is highly dependent on a very small set of service lines and could be sensitive to changes in reimbursement policy or utilization for those codes.

    T1019 is the dominant revenue driver with 1.1M claims, $69.5M revenue, and representing 87.2% of the provider's Medicaid revenue; it ranks #2 of 89 providers in-state and is described as notably above typical state volume. Given the T1019 description (personal care services, per 15 minutes, as part of an individualized plan), this pattern points to an operation built around high-volume, per-15-minute personal care attendant services delivered in the community.

    S5125 (attendant care services; per 15 minutes) is the second-largest contributor with 91.7K claims and $7M revenue, representing 8.7% of Medicaid revenue and ranking #6 of 45 in-state (89th percentile). Its presence reinforces that attendant, per-15-minute service delivery is a material part of the business mix, although its statewide rank is strong while still substantially below the provider's T1019 volume.

    S9122 (home health aide/CNA, per hour) accounts for 18K claims and $2M revenue (2.6% of Medicaid revenue) and ranks #4 of 7 in-state (50th percentile). This indicates the provider offers hourly home health aide services at a modest scale relative to its per-15-minute personal care business, representing a secondary, smaller revenue stream.

    Other billed codes are small by comparison — examples include 99509 ($642.2K, 0.8% of revenue), T1000 ($457.7K, 0.6%), and G9006 ($83K, 0.1%) — indicating limited diversification beyond personal care and attendant services. The presence of small volumes of nursing and coordinated-care fees suggests ancillary or complementary services, but these do not materially shift the overall revenue profile.

    Competitive standing is state-dominant for the core T1019 line (top 2 of 89 and 99th percentile), a major but less dominant participant on S5125 (89th percentile), and a modest player on S9122 (50th percentile). Combined with the lack of Medicare revenue and high concentration (98.5% in top 3 codes), the provider appears to be a specialized, high-volume personal care/attendant services operator whose commercial health is closely tied to state Medicaid utilization and reimbursement for those specific codes.

    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.

    7 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…1,053,190$70$69.5M
    S5125Attendant care services; per 15 minutes91,660$80$7M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour18,020$110$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.11,680$60$642.2K
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes1,300$350$457.7K
    G9006Coordinated care fee, home monitoring7,550$10$83K
    T1002Rn services, up to 15 minutes290$20$4.7K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Mexico median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.558020,990$310$16.4M
    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…29092,900$70$13.3M
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes5106,820$540$6.3M
    S5125Attendant care services; per 15 minutes65010,600$100$4.3M
    G9006Coordinated care fee, home monitoring29803,840$190$2M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour41018,020$130$2M
    T1002Rn services, up to 15 minutes26401,350$150$368.7K

    Nearby Providers

    Other providers in the same ZIP code as Basin Coordinated Healthcare,inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    San Juan Regional Medical Center, Inc.NMGeneral Acute Care Hospital$0$141.5M
    Presbyterian Medical ServicesNMFederally Qualified Health Center (FQHC)$0$41.2M
    Links Ii IncNMIn Home Supportive Care Agency$0$38.9M
    Generations Personal Care, IncNMPersonal Care Attendant$0$33.9M
    Southwestern Private Services, Inc.NMHome Health Agency$0$30.4M
    San Juan Regional Medical Center IncNMEmergency Medicine Physician$0$23.8M
    San Juan Center For IndependenceNMHome Health Agency$0$22.5M
    Cottonwood Clinical Services, Inc.NMCommunity/Behavioral Health Agency$0$18.1M
    San Juan Regional Medical Center IncNMPediatrics Physician$0$15.7M
    Better Together Home And Community Services, LLCNMChild Intellectual and/or Developmental Disabilities Respite Care$0$14.5M

    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. New Mexico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Basin Coordinated Healthcare,inc — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico