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    OpenPayerNPI Medicare & MedicaidHelp At Home, LLC
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    Help At Home, LLC — Billing Profile & Reimbursement Data

    NPI 1881935583 · Chicago, IL · In Home Supportive Care Agency

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    Help At Home, LLC is a in home supportive care agency provider located in Chicago, Illinois. This profile covers 0 Medicare and 1 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
    OrganizationHelp At Home, LLC
    Address33 S State St Fl 5
    CityChicago
    StateIL
    ZIP60603
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedMarch 6, 2013

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

    Payer SourceTotal Paid
    Medicaid$67M
    Medicare$0

    Key Findings

    HELP AT HOME, LLC reports no Medicare billing on file and all recorded claims appear under Medicaid, indicating the organization operates effectively as a single-payer provider in this dataset with $67M in lifetime Medicaid revenue. The absence of Medicare revenue suggests its services and contracts are focused on Medicaid-covered populations rather than fee-for-service Medicare beneficiaries.

    Revenue concentration is extreme: the single code S5130 (Homemaker service, nos; per 15 minutes) accounts for 100.0% of the provider’s total Medicaid revenue, so the business’s financial picture is almost entirely driven by homemaker service delivery rather than a diversified set of billable procedures. Analysts should treat any changes in payment policy or utilization for S5130 as directly material to the provider’s overall revenue.

    The code mix — dominated entirely by S5130 — identifies HELP AT HOME as an in-home supportive care agency whose operations are centered on routine homemaker services (personal/home support activities billed in 15-minute units). This concentration implies the organization’s workforce, scheduling, and billing systems are optimized for high-volume, short-unit home care encounters rather than episodic medical procedures or skilled nursing services.

    Competitive standing in-state is dominant for the primary billed service: HELP AT HOME ranks #1 of 69 providers in Illinois for S5130 and sits in the 100th percentile, explicitly described as an extreme outlier far above the typical state volume for this code. That ranking signals the provider is a major market participant for homemaker services in Illinois and likely captures substantially more Medicaid homemaker volume than peers.

    Operational scale is apparent from volume metrics for S5130: 788.8K claims at an average paid-per-claim of $85 produced the entire $67M Medicaid lifetime revenue. The high claim count combined with the $85 average paid/claim indicates sustained, large-scale delivery of brief, recurring home-support units rather than a small number of high-dollar episodic services.

    Tenure: the NPI was enumerated on 2013-03-06 (approximately 13 years ago), signaling a long-standing presence in the market. This longevity, paired with the extreme outlier status for S5130, suggests the provider has established operational capacity and payer relationships to support high-volume homemaker service delivery over an extended period.

    From a payer-management perspective, HELP AT HOME’s profile represents concentrated risk and exposure tied to Medicaid policy and reimbursement for S5130; any payer rate changes, prior authorization shifts, or program redesigns affecting homemaker services would likely have outsized impact on this provider’s revenues. Analysts should prioritize S5130 utilization, documentation practices, and contract terms when evaluating financial or care-management interventions.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5130Homemaker service, nos; per 15 minutes788,790$90$67M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5130Homemaker service, nos; per 15 minutes170570$110$2M

    Nearby Providers

    Other providers in the same ZIP code as Help At Home, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Board Of Education Of The City Of ChicagoILLocal Education Agency (LEA)$0$122.3M
    Help At Home, LLCILHome Health Agency$0$23.9M
    Charles LoILInternal Medicine Physician$36.2K$0

    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. Illinois Providers
    5 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Help At Home, LLC — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois