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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

Horizon Health Services, LLC (NPI 1891847240)

Field	Value
Entity Type	Organization
Organization	Horizon Health Services, LLC
Address	13001 Cedar Rd
City	Cleveland Heights
State	OH
ZIP	44118
Taxonomy	Home Health Agency
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicaid	$64.9M
Medicare	$0

Key Findings

HORIZON HEALTH SERVICES, LLC is a home health agency operating in CLEVELAND HEIGHTS, OH that has been NPI-enumerated since 2007-01-17 (~19 years ago). Its billing profile is effectively single-payer: there is no Medicare billing on file and the provider reports $64.9M in total Medicaid revenue, indicating Medicaid is the material source of its billed activity and income.

Revenue is highly concentrated in a narrow set of Medicaid service codes: the precomputed top three codes account for 99.3% of the provider's total Medicaid revenue. The largest single driver is T1019 (74.9% of Medicaid revenue), followed by G0156 (23.3%) and T1001 (1.0%), which together dominate the revenue mix and imply limited diversification across other Medicaid codes.

The code mix (T1019 – personal care services per 15 minutes, and G0156 – home health/hospice aide services each 15 minutes) indicates an operational focus on high-volume, aide-driven personal care and home aide visits rather than predominantly skilled nursing procedures. The presence of T1001 (nursing assessment/evaluation) at a much smaller share suggests the organization also performs intake or supervisory nursing assessments to support its aide-delivered service model.

Volume and per-unit payment details underline a high-frequency, low-unit-payment business model: T1019 shows 900.5K claims at $54 avg paid/claim generating $48.6M in revenue, G0156 shows 488.3K claims at $31 avg paid/claim generating $15.1M, and T1001 shows 19K claims at $35 avg paid/claim generating $663.6K. These figures show most revenue is produced by very large claim counts rather than high per-claim payments, consistent with labor- and visit-intensive personal care services.

Competitive standing within Ohio is concentrated and strong for the provider's core codes: T1019 ranks #1 of 829 providers in-state (100th percentile; labeled an extreme outlier), T1001 ranks #2 of 500 providers in-state (100th percentile; labeled an extreme outlier), and G0156 ranks #9 of 482 providers in-state (98th percentile; notably above typical state volume). These rankings characterize HORIZON HEALTH SERVICES as a dominant statewide supplier for personal care and home-aide services by volume.

The provider's scale on these codes implies substantial operational capacity and workforce deployment: combined, the two aide-focused codes represent the vast majority of activity (900.5K and 488.3K claims respectively), with modest average payments per claim ($54 and $31). That profile suggests payer engagements, network adequacy assessments, and reimbursement negotiations should account for high visit volumes and associated care coordination needs rather than episodic high-cost procedures.

From a payer risk and contracting perspective, the lack of Medicare activity means Medicaid carries concentrated exposure to this single large vendor for personal care services; the top-three concentration (99.3% of Medicaid revenue) increases the materiality of any performance, utilization, or compliance issues tied to these specific codes. Payers evaluating contracting, oversight, or capacity planning should prioritize T1019 and G0156 service lines and consider the provider's extreme-outlier rankings when benchmarking utilization and setting quality or utilization expectations.

The provider's nearly two-decade tenure (NPI enumerated 2007-01-17 (~19 years ago)) combined with top-state rankings for core codes suggests an established market presence rather than a recent entrant. That longevity, paired with the concentrated high-volume service mix, indicates an operational model optimized for sustained delivery of personal care and home aide services within Ohio's Medicaid program.

Medicaid: Complete Services Breakdown

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

6 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…	900,510	$50	$48.6M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	488,330	$30	$15.1M
T1001	Nursing assessment / evaluation	18,960	$40	$663.6K
S5130	Homemaker service, nos; per 15 minutes	18,850	$20	$358.2K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	3,370	$40	$118K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	50	$50	$2.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Horizon Health Services, LLC — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

6 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…	1	830	20,350	$70	$3.1M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	9	480	27,490	$30	$2.5M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	212	380	4,540	$40	$794.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	550	560	3,370	$40	$543.8K
S5130	Homemaker service, nos; per 15 minutes	5	20	5,310	$20	$262.1K
T1001	Nursing assessment / evaluation	2	500	490	$30	$45.4K

Nearby Providers

Other providers in the same ZIP code as Horizon Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bellefaire Jewish Children's Bureau	OH	Community/Behavioral Health Agency	$0	$38.1M
First Alliance Healthcare	OH	Case Management Agency	$0	$20.8M
Noor Home Health Care	OH	Home Health Agency	$0	$14.1M
Dr. Kates Premier Smiles Orthodontics Inc.	OH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$12.8M
Xcel Healthcare Providers, Inc.	OH	Home Health Agency	$0	$12.6M
A-1 Health Care Inc	OH	Home Health Agency	$0	$10.9M
A-1 Nursing Care Of Cleveland LLC	OH	Home Health Agency	$0	$9.1M
Resource Alliance Home Care LLC	OH	Home Health Agency	$0	$8.7M
Mark Brejt	OH	Diagnostic Radiology Physician	$412.1K	$0
Michael Diamond	OH	Podiatrist	$66.5K	$128.8K

Horizon Health Services, LLC — Billing Profile & Reimbursement Data

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Horizon Health Services, 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