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

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

Total Care, Inc. (NPI 1902006869)

Field	Value
Entity Type	Organization
Organization	Total Care, Inc.
Address	307 S 12th Ave
City	Yakima
State	WA
ZIP	98902
Taxonomy	Home Health Agency
NPI Enumerated	July 19, 2007

Payer Source	Total Paid
Medicaid	$34.3M
Medicare	$0

Key Findings

TOTAL CARE, INC. is effectively a Medicaid-focused operator: total Medicaid revenue is $34.3M while there is none (no Medicare billing on file), indicating a single-payer footprint in the available claims data rather than a mixed Medicare/Medicaid practice mix. This concentration implies the provider’s referral and contracting relationships are primarily with Medicaid programs or Medicaid-managed care entities.

Revenue concentration is extreme within Medicaid: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, driven overwhelmingly by one code. T1000 alone accounts for $33.2M (96.7% of Medicaid revenue), demonstrating that nearly all Medicaid receipts derive from a single service line.

The operational profile implied by the code mix points to a private-duty nursing model: T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes) is the dominant revenue driver with 51K claims and a $651 avg paid/claim, and T1002 (Rn services, up to 15 minutes) contributes a small secondary stream with 5.4K claims and a $207 avg paid/claim. This pattern suggests the agency delivers high-volume, short-interval licensed nursing visits rather than traditional episodic Medicare home health care.

Competitive standing for the primary service is moderately strong but not unique: T1000 ranks #3 of 14 providers in-state (85th percentile; typical, unremarkable volume for this code), indicating the agency is among the higher-volume Medicaid private-duty nursing providers in the state while still operating within the expected range for peers. T1002 ranks #12 of 64 in-state (83th percentile; typical, unremarkable volume for this code), which places the provider as a modest participant in RN-level 15-minute billing relative to a larger peer set.

SA019 is an anomalous reported code: it shows 138 claims but $0 avg paid/claim and $0 revenue (0.0% of this provider's total Medicaid revenue), and it ranks #7 of 28 in-state (78th percentile; typical, unremarkable volume for this code). The presence of non-revenue-earning claims suggests administrative billing activity, zero-paid ancillary items, or encounter records that did not result in payment rather than a material revenue stream.

The provider has a long tenure in the NPI registry, enumerated on 2007-07-19 (~19 years ago), which supports that the observed concentrated billing pattern is not a transient start-up effect but a stable, long-running service model. This longevity may also reflect established relationships within the Medicaid ecosystem.

From a risk and portfolio perspective for payers and network managers, TOTAL CARE’s heavy dependence on T1000 for $33.2M of $34.3M in Medicaid revenue means utilization management or rate changes affecting private duty nursing could materially impact the provider’s revenue. Conversely, because there is no Medicare billing on file, actions or policy shifts in Medicare would have no direct revenue impact per the current claims data.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	51,000	$650	$33.2M
T1002	Rn services, up to 15 minutes	5,440	$210	$1.1M
SA019	N/A	140	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Total Care, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	3	10	14,140	$490	$12.6M
T1002	Rn services, up to 15 minutes	12	60	1,140	$100	$493.3K
SA019	N/A	7	30	50	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yakima Valley Memorial Hospital Association	WA	General Acute Care Hospital	$0	$103.5M
Community Health Of Central Washington	WA	Federally Qualified Health Center (FQHC)	$0	$25.9M
Yakima Valley Memorial Physicians	WA	General Acute Care Hospital	$0	$24.9M
Comprehensive Healthcare	WA	Community/Behavioral Health Agency	$0	$22.9M
Planned Parenthood Of Greater Washington & North Idaho	WA	Multi-Specialty Clinic/Center	$0	$17.8M
American Medical Response Ambulance Service Inc	WA	Ambulance	$1.6M	$10.6M
Howards Medical LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$7.2M
Shc Medical Center - Yakima	WA	General Acute Care Hospital	$0	$6.9M
Yakima Valley Memorial Hospital Association	WA	Pharmacy	$0	$6.2M
Renal Treatment Centers West Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.1M

Total Care, Inc. — Billing Profile & Reimbursement Data

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Total Care, 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