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    OpenPayerNPI Medicare & MedicaidIndependence Health Services, LLC
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    Independence Health Services, LLC — Billing Profile & Reimbursement Data

    NPI 1912172974 · Providence, RI · Home Health Agency

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    Independence Health Services, LLC is a home health agency provider located in Providence, Rhode Island. This profile covers 0 Medicare and 3 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
    OrganizationIndependence Health Services, LLC
    Address433 Elmwood Ave
    CityProvidence
    StateRI
    ZIP02907
    TaxonomyHome Health Agency
    NPI EnumeratedApril 29, 2008

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

    Payer SourceTotal Paid
    Medicaid$40.4M
    Medicare$0

    Key Findings

    INDEPENDENCE HEALTH SERVICES, LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file while reported lifetime Medicaid revenue totals $40.4M, indicating the organization operates almost exclusively within the Medicaid market. The absence of Medicare revenue suggests services and contracts are focused on Medicaid-covered populations and benefits rather than Medicare beneficiaries.

    Revenue is highly concentrated in a single service line: the three precomputed Medicaid codes together account for 100.0% of the provider's Medicaid revenue, with S5125 alone generating $38.9M (96.1% of total Medicaid revenue). This concentration implies the organization’s business model is dominated by attendant care services delivered in 15-minute units.

    The top code S5125 (Attendant care services; per 15 minutes) is the dominant revenue driver by a wide margin, reflecting an operational emphasis on personal care/attendant services rather than skilled nursing or therapy. With 129.2K claims and an average paid/claim of $301, S5125 is the core service offering and likely represents the bulk of the agency’s staffing, scheduling, and billing infrastructure.

    Competitive standing for the primary code is modest within the state: S5125 ranks #14 of 83 providers in Rhode Island (84th percentile), which indicates above-average but not market-leading volume for attendant care services. For the secondary code S5130 (Homemaker service, nos; per 15 minutes), the provider ranks #21 of 34 (39th percentile), placing it below many in-state peers for homemaker service volume.

    For nursing assessment activity T1001 (Nursing assessment / evaluation), the provider reports $339.5K in revenue (0.8% of Medicaid revenue) from 3.5K claims with an average paid/claim of $98, and ranks #9 of 42 providers (80th percentile). This suggests the agency performs a measurable amount of nursing assessment work relative to peers, but it is a small component of overall revenue compared with attendant care.

    The provider has an established operating history: its NPI was enumerated on 2008-04-29 (~18 years ago), indicating long tenure in the market which may support stable payer relationships and operational experience in Medicaid service delivery.

    Given the extreme concentration (96.1% of Medicaid revenue tied to S5125) the organization’s financial performance and operational risk are tightly linked to reimbursement and utilization trends for attendant care services; any policy, rate, or utilization shifts affecting S5125 would disproportionately impact total revenue.

    Across its reported Medicaid codes the provider’s per-claim average payments vary by service type—$301 for S5125, $249 for S5130, and $98 for T1001—highlighting that attendant care claims are both high-volume and relatively high-paid per claim compared with the other two codes, reinforcing attendant care as the primary revenue engine.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes129,160$300$38.9M
    S5130Homemaker service, nos; per 15 minutes4,900$250$1.2M
    T1001Nursing assessment / evaluation3,460$100$339.5K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes148013,620$120$7.8M
    S5130Homemaker service, nos; per 15 minutes213010,010$100$1.9M
    T1001Nursing assessment / evaluation940460$100$164.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Haigh Ventures, IncRIHome Health Agency$0$28.9M
    Elmwood Adult Day Health Care CenterRIAdult Day Care Clinic/Center$0$13.8M
    Abraham Home Care Provider LLCRIIn Home Supportive Care Agency$0$11.7M
    Jammat Housing And Community Development CorporationRIMental Illness Community Based Residential Treatment Facility$0$8.7M
    Saint Elizabeth Assisted Living, L.P.RIAssisted Living Facility$0$5M
    Raising Hope, IncRIHome Health Agency$0$4.9M
    Susan HartRIAddiction Medicine (Internal Medicine) Physician$0$3.9M
    Victa LLCRIAddiction Medicine (Internal Medicine) Physician$57.6K$3.7M
    Providence Physical Therapy Associates, Inc.RIPhysical Therapy Clinic/Center$0$3.4M
    Aids Care Ocean State, Inc.RIEmotionally Disturbed Childrens' Residential Treatment Facility$0$3.4M

    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. Rhode Island Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Independence Health Services, LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island