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

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

Prileo Healthcare LLC Dba Prileo Home Care (NPI 1902937212)

Field	Value
Entity Type	Organization
Organization	Prileo Healthcare LLC Dba Prileo Home Care
Address	255 E Osborn Rd Ste 103
City	Phoenix
State	AZ
ZIP	85012
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$88.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file, so all observed fee-for-service activity is concentrated in Medicaid. With Total Medicaid revenue of $88.8M and no Medicare revenue reported, PRILEO HEALTHCARE LLC DBA PRILEO HOME CARE is effectively a single-payer (Medicaid-focused) operator in the available claims data.

Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. The dominant driver is S5125 (Attendant care services; per 15 minutes), which alone represents $83.6M (94.2% of Medicaid revenue), followed by S5150 at $5M (5.7%) and S5130 at $111.8K (0.1%).

The code mix reflects a core in-home personal care operation rather than clinical or durable medical services: S5125 (attendant care per 15 minutes) and S5150 (unskilled respite care per 15 minutes) together represent essentially all billed Medicaid services, indicating the organization primarily provides paid attendant/respite and related homemaker/companion support in home settings. The presence of S5130 (homemaker service) and small volumes of habilitation codes further underscores a service-line focus on non-skilled activities of daily living and supportive care.

Competitive standing for the top code S5125 is relatively strong by volume within Arizona: the provider ranks #9 of 223 in-state and sits in the 96th percentile for S5125 claims, suggesting it is one of the higher-volume attendants of this service in the state, even though the dataset labels this volume as "typical, unremarkable." Similarly, S5150 ranks #24 of 192 and the 88th percentile, indicating above-average state-level activity for respite services but not an extreme outlier.

Not all codes show statewide strength: S5130 (homemaker service) generated only $111.8K and ranks #12 of 14 providers in-state (15th percentile), indicating the provider is a minor participant for that specific service line within Arizona. The combination of a dominant S5125 footprint and negligible S5130 revenue suggests operational emphasis and resource allocation are tightly focused on attendant and respite care rather than broader homemaker offerings.

Average paid-per-claim values show service-level differences that may reflect billing patterns or program rates: S5125 averages $149 paid per claim, S5150 averages $105 paid per claim, and S5130 averages $325 paid per claim. Given the very large claim volume for S5125 (561.1K claims), the provider’s revenue profile is driven more by volume of time-based attendant services than by high per-claim reimbursements.

The provider’s NPI was enumerated on 2007-03-08 (~19 years ago), indicating long tenure in the market. This long enrollment period coupled with concentrated Medicaid revenue suggests an established Medicaid-focused home care operator rather than a newly entered or diversifying business.

From a risk and business-management perspective, the extreme revenue concentration in a single service code (S5125 at 94.2%) implies sensitivity to policy, rate, or utilization changes affecting that code. Any payer policy changes, rate adjustments, or eligibility shifts for attendant care services could materially affect this provider’s financials because the top three codes together make up 100.0% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	561,050	$150	$83.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	48,040	$110	$5M
S5130	Homemaker service, nos; per 15 minutes	340	$330	$111.8K
T2017	Habilitation, residential, waiver; 15 minutes	1,110	$20	$23.3K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	250	$60	$13.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Prileo Healthcare LLC Dba Prileo Home Care — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	9	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	53	60	32,290	$90	$9M
S5150	Unskilled respite care, not hospice; per 15 minutes	24	190	5,090	$100	$2.9M
S5130	Homemaker service, nos; per 15 minutes	12	10	3,750	$80	$379.8K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	20	30	1,470	$60	$163.8K

Nearby Providers

Other providers in the same ZIP code as Prileo Healthcare LLC Dba Prileo Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Park Health Center	AZ	Federally Qualified Health Center (FQHC)	$0	$351.5M
The Tungland Company, LLC	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$332M
Adelante Healthcare, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$245.5M
Banner-university Medical Group	AZ	Multi-Specialty Clinic/Center	$0	$133.7M
Denova Collaborative Health, LLC	AZ	Multi-Specialty Clinic/Center	$0	$87.9M
Southwest Behavioral Health Services Inc	AZ	Community/Behavioral Health Agency	$0	$83.5M
Terros, Inc.	AZ	Community/Behavioral Health Agency	$0	$81.7M
Accentcare At Home, Inc.	AZ	In Home Supportive Care Agency	$0	$65.7M
Banner Physician Super Specialists Arizona LLC	AZ	Multi-Specialty Clinic/Center	$0	$36.9M
Banner - University Hospital Based Physicians LLC	AZ	General Acute Care Hospital	$0	$29.7M

Prileo Healthcare LLC Dba Prileo Home Care — Billing Profile & Reimbursement Data

Sign up for Prileo Healthcare LLC Dba Prileo Home Care — Billing Profile & Reimbursement Data policy alerts

Prileo Healthcare LLC Dba Prileo Home Care — Billing Profile & Reimbursement Data

Sign up for Prileo Healthcare LLC Dba Prileo Home Care — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References