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.

Health Care Unlimited, Inc (NPI 1881608172)

Field	Value
Entity Type	Organization
Organization	Health Care Unlimited, Inc
Address	1100 E Laurel
City	Mcallen
State	TX
ZIP	78501
Taxonomy	Home Health Agency
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicaid	$67.8M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and has $67.8M in lifetime Medicaid revenue, making its public billing footprint effectively single-payer (Medicaid) in scale. Analysts should treat the entity as a Medicaid-focused Home Health Agency rather than a mixed Medicare/Medicaid operator when evaluating payer exposure and contract strategy.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 99.2% of this provider's total Medicaid revenue, and a single code, S5125, represents $62.9M or 92.9% of Medicaid revenue. That extreme concentration implies business and margin sensitivity to reimbursement, utilization, or policy changes affecting S5125 (attendant care services; per 15 minutes).

The code mix — dominated by S5125 (attendant care), with smaller but material volumes in T1019 (personal care services) and T1005 (respite care services) — indicates the organization primarily delivers non-skilled, hands-on in-home attendant and personal support rather than skilled nursing or therapy. This pattern aligns with its Home Health Agency taxonomy and suggests operational focus on workforce-intensive personal care and respite services for Medicaid beneficiaries.

HEALTH CARE UNLIMITED is a statewide leader on its core code: S5125 ranks #26 of 1678 providers in-state and is in the 99th percentile, described as notably above typical state volume for this code. That ranking signals a dominant competitive position in attendant care within Texas and a likely large share of local Medicaid attendant-care volumes.

For secondary lines, the provider shows mixed competitive standing: T1019 (60.9K claims, $2.3M revenue) ranks #268 of 1050 providers (75th percentile) and is described as typical/unremarkable, while T1005 (45.9K claims, $2M revenue) ranks #41 of 564 providers (93th percentile) and is a stronger but still not market-dominant presence. These ranks suggest modest-to-strong participation in personal care and respite markets but not the same market dominance it holds for S5125.

Ancillary services are present but small: S9110 (telemonitoring) accounts for $303.4K (0.4% of Medicaid revenue) and ranks #38 of 79 providers (53th percentile), while T2017 (habilitation, waiver) contributes $257.9K (0.4%) and ranks #46 of 55 providers (17th percentile). These figures show limited engagement in telehealth/monitoring and low relative penetration in habilitation/waiver services compared with peers.

Several skilled/home-health codes show reported claim counts with $0 avg paid/claim (including G0300, G0151, G0299, G0495 and Q5001 in the dataset). The presence of claims with zero recorded paid revenue suggests reported activity that did not generate paid Medicaid revenue in this data extract and reinforces that the provider's paid revenue is concentrated in non-skilled personal/attendant codes rather than paid skilled nursing or therapy.

The provider's NPI was enumerated on 2006-07-29 (~20 years ago), indicating long tenure in the market. Combined with the heavy revenue concentration in attendant care (S5125) and its top-state ranking on that code, the profile is consistent with a long-established, regionally entrenched Medicaid attendant-care operator rather than a diversified home-health/skilled-services competitor.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	1,123,340	$60	$62.9M
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…	60,870	$40	$2.3M
T1005	Respite care services, up to 15 minutes	45,850	$40	$2M
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	1,520	$200	$303.4K
T2017	Habilitation, residential, waiver; 15 minutes	3,970	$70	$257.9K
H2015	Comprehensive community support services, per 15 minutes	180	$70	$12.6K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	10	$0	$0
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	80	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1,250	$0	$0
G0495	Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	60	$0	$0

Showing 1–10 of 11

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

Health Care Unlimited, Inc — 1 of 6 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	26	1,680	50,290	$60	$9.5M
T2017	Habilitation, residential, waiver; 15 minutes	46	60	19,340	$80	$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…	268	1,050	23,280	$30	$1.8M
H2015	Comprehensive community support services, per 15 minutes	110	120	2,880	$100	$1.2M
S9110	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month	38	80	1,400	$190	$1.2M
T1005	Respite care services, up to 15 minutes	41	560	8,490	$50	$842.3K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	154	310	1,230	$30	$91.7K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	277	350	520	$50	$75.6K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	156	160	310	$20	$13.9K
G0495	Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	93	120	310	$0	$0

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hjc Home Health Care Services, Inc.	TX	Home Health Agency	$0	$36.8M
Legacy Home Care Services, Inc.	TX	Home Health Agency	$0	$30.6M
El Jardin Provider Services, LLC.	TX	Personal Care Attendant	$0	$28M
Easter Seals Rio Grande Valley	TX	Developmental Disabilities Clinic/Center	$0	$25.1M
Iph Primary Home Care, Inc.	TX	Home Health Agency	$0	$23.8M
Cielo Azul Provider Services, LLC.	TX	Personal Care Attendant	$0	$22M
With Open Arms Healthcare, LLC	TX	Home Health Agency	$0	$20.2M
Fuera Investment Group LLC	TX	Personal Care Attendant	$0	$19.4M
Regency Ihs Hospice Services LLC	TX	Community Based Hospice Care Agency	$0	$15.9M
One Lac, Inc.	TX	Home Health Agency	$0	$13.6M

Health Care Unlimited, Inc — Billing Profile & Reimbursement Data

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Health Care Unlimited, 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