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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Heavens Caring, LLC Home Care (NPI 1902132863)

Field	Value
Entity Type	Organization
Organization	Heavens Caring, LLC Home Care
Address	55 Raymond Rd
City	Deerfield
State	NH
ZIP	03037
Taxonomy	Home Health Agency
NPI Enumerated	October 28, 2009

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Key Findings

HEAVENS CARING, LLC HOME CARE is effectively a Medicaid-funded home health agency based in DEERFIELD, NH with Total Medicaid revenue of $9.3M and Total Medicare revenue of none (no Medicare billing on file). Its NPI was enumerated on 2009-10-28 (~17 years ago), indicating an established operating history in the state market.

Revenue concentration is extremely high: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with one code (T1019) alone representing the vast majority of receipts. This concentration signals that a single service line drives nearly the entire financial picture for this entity.

T1019 dominates the billing mix as Personal care services, per 15 minutes: 70.8K claims, $126 avg paid/claim, $8.9M revenue (95.7% of this provider's total Medicaid revenue). This code profile indicates the operation is primarily delivering high-volume personal care services in client homes rather than skilled, medically driven home health services.

T1030 (Nursing care, in the home, by registered nurse, per diem) is a secondary revenue source: 4.4K claims, $92 avg paid/claim, $404.4K revenue (4.3% of this provider's total Medicaid revenue). The presence of T1030 shows the provider also bills for RN nursing per diems, but at a scale that is small relative to its personal care activity.

Competitive standing within New Hampshire is mixed: T1019 ranks #8 of 43 providers in-state (83th percentile; typical, unremarkable volume for this code), which indicates a relatively strong in-state position for personal care services but still characterized in the data as a typical volume profile. T1030 ranks #21 of 45 providers in-state (55th percentile; typical, unremarkable volume for this code), placing the provider near the middle of peers for home nursing per diems.

Statistical labels attached to each top code are 'typical, unremarkable volume for this code,' and the provider shows no labeled outlier behavior in the reported codes. Both the dominant personal care activity and the nursing per diem billing fall within expected state peer ranges rather than being flagged as unusually high or low.

The payer mix and code concentration create operational and reimbursement vulnerability: with none (no Medicare billing on file) on the Medicare side and $9.3M concentrated in Medicaid services (95.7% from T1019), the provider's revenue is highly dependent on state Medicaid policy, rates, and utilization patterns for personal care. Any Medicaid rate changes or eligibility shifts for personal care could materially affect the provider's revenue given this concentration.

From a service-line perspective, the code mix (heavy T1019 with some T1030) suggests HEAVENS CARING operates primarily as a personal care/home support agency supplemented by RN per-diem nursing services, rather than functioning as a traditional skilled home health agency focused on Medicare-funded skilled visits. This positioning explains the lack of Medicare billing and aligns the business model closely with Medicaid-funded long-term care and personal assistance services.

Medicaid: Complete Services Breakdown

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

2 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…	70,780	$130	$8.9M
T1030	Nursing care, in the home, by registered nurse, per diem	4,400	$90	$404.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Heavens Caring, LLC Home Care — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

2 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…	8	40	18,730	$140	$6.5M
T1030	Nursing care, in the home, by registered nurse, per diem	21	50	3,690	$90	$715.1K

Heavens Caring, LLC Home Care — Billing Profile & Reimbursement Data

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Heavens Caring, LLC Home Care — 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

Frequently Asked Questions

References