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.

Bootheel Area Independent Living Services, Inc. (NPI 1861557183)

Field	Value
Entity Type	Organization
Organization	Bootheel Area Independent Living Services, Inc.
Address	719 Teaco Rd
City	Kennett
State	MO
ZIP	63857
Taxonomy	Home Health Agency
NPI Enumerated	December 27, 2006

Payer Source	Total Paid
Medicaid	$58.9M
Medicare	$0

Key Findings

BOOTHEEL AREA INDEPENDENT LIVING SERVICES, INC. reports no Medicare billing on file and $58.9M in lifetime Medicaid revenue, making its public billing profile effectively Medicaid-focused rather than dual-payer. This absence of Medicare activity means all observable claims-driven scale and competitive positioning derive from the Medicaid side.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with a single code, T1019, contributing $56.1M (95.2% of Medicaid revenue). This concentration indicates that a very small set of service lines drives nearly the entire reported Medicaid revenue base.

The code mix (T1019 – personal care services per 15 minutes; T1001 – nursing assessment/evaluation; S5150 – unskilled respite care) identifies the operation as a home- and community-based personal care provider rather than a skilled home health agency. Heavy billing in per-15-minute personal care units suggests a labor-intensive model delivering high volumes of direct care hours in community or home settings.

BOOTHEEL ranks as a major in-state player for its highest-volume codes: T1019 is ranked #9 of 1332 providers in Missouri (99th percentile, labeled an "extreme outlier"), and T1001 ranks #15 of 417 providers (97th percentile, "notably above typical state volume"). By those metrics the provider is dominant in delivering personal care and nursing assessment services within the state.

Claim volume and unit-level payments show scale and consistency: T1019 tallied 1.2M claims at a $46 avg paid/claim accounting for $56.1M revenue; T1001 had 50.6K claims at $48 avg paid/claim accounting for $2.4M; and S5150 logged 9.8K claims at $39 avg paid/claim accounting for $383K. These figures point to a high-volume, low-to-moderate per-unit reimbursement model typical of minute-level personal care and respite services.

With an NPI enumeration date of 2006-12-27 (~20 years ago), the provider has long-standing Medicaid enrollment and operational tenure, suggesting established referral relationships and operational processes in its service area. This longevity supports the observed high cumulative Medicaid revenue and large claim counts.

The provider's extreme revenue reliance on T1019 (95.2% of Medicaid revenue) creates material exposure to any reimbursement, eligibility, or policy changes targeting personal care per-15-minute billing. Given that the top three codes together make up 100.0% of Medicaid revenue, changes affecting even one of those codes would have outsized financial impact.

Secondary and smaller activity is limited: S5150 and T1028 are modest contributors (S5150: $383K, 0.7% of Medicaid revenue, rank #73 of 216 at the 67th percentile; T1028: $3.2K, 0.0% of Medicaid revenue, rank #65 of 88 at the 26th percentile), indicating limited diversification beyond core personal care and assessment services. This underlines the provider's strategic focus on direct personal care delivery rather than ancillary home-environment assessment services.

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…	1,219,050	$50	$56.1M
T1001	Nursing assessment / evaluation	50,580	$50	$2.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	9,820	$40	$383K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	40	$80	$3.1K

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

Bootheel Area Independent Living Services, Inc. — 2 of 4 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

4 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…	9	1,330	6,550	$80	$4.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	73	220	3,750	$60	$1.3M
T1001	Nursing assessment / evaluation	15	420	1,610	$50	$378.4K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	65	90	150	$90	$164.6K

Nearby Providers

Other providers in the same ZIP code as Bootheel Area Independent Living Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Counseling Center, Inc	MO	Community/Behavioral Health Agency	$0	$284.1M
Tri-county Group Xv, Inc.	MO	Home Health Agency	$0	$113.1M
Visiting Nurse Association Of Southeast Missouri Inc	MO	Home Health Agency	$0	$26.1M
Hope@home LLC	MO	Home Health Agency	$0	$6.2M
Crosstree Healthcare LLC	MO	Assisted Living Facility	$0	$5.5M
Visiting Nurse Association Of Southeast Missouri Inc	MO	Home Health Agency	$0	$4.6M
Visiting Nurse Association Of Southeast Missouri Inc	MO	Home Health Agency	$0	$4.5M
Dunklin Day Activity Center	MO	Developmentally Disabled Services Day Training Agency	$0	$3.9M
Jackie Sutherland	MO	Internal Medicine Physician	$101.3K	$162.4K
Dave Jain	MO	Internal Medicine Physician	$207.1K	$0

Bootheel Area Independent Living Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Bootheel Area Independent Living Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Bootheel Area Independent Living Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Bootheel Area Independent Living Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References