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    OpenPayerNPI Medicare & MedicaidCustomcare Cbc, LLC
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    Customcare Cbc, LLC — Billing Profile & Reimbursement Data

    NPI 1922185677 · Minneapolis, MN · Custodial Care Facility

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    Customcare Cbc, LLC is a custodial care facility provider located in Minneapolis, Minnesota. This profile covers 0 Medicare and 6 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
    OrganizationCustomcare Cbc, LLC
    Address7801 E Bush Lake Rd Ste 100
    CityMinneapolis
    StateMN
    ZIP55439
    TaxonomyCustodial Care Facility
    NPI EnumeratedNovember 1, 2006

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

    Payer SourceTotal Paid
    Medicaid$63.8M
    Medicare$0

    Key Findings

    CUSTOMCARE CBC, LLC is effectively a Medicaid-focused provider: there is no Medicare billing on file and lifetime Medicaid revenue totals $63.8M. This makes the organization a single-payer (Medicaid) operation in practical terms rather than a mixed Medicare/Medicaid provider.

    Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 91.0% of this provider's total Medicaid revenue, indicating the business is dependent on a narrow set of service lines for the bulk of its income. This concentration increases operational sensitivity to changes in reimbursement or utilization for those specific codes.

    The code mix (T1019, S5135, S5130 as the top drivers) identifies this entity as a custodial and home/community-based personal assistance provider rather than a medically skilled services organization. T1019 is billed as personal care services per 15 minutes, S5135 as companion care per 15 minutes, and S5130 as homemaker service per 15 minutes, which together indicate day-to-day assistance, companionship, and household support are the primary service offerings.

    T1019 is the single largest revenue driver at $35.1M, representing 55.0% of the provider's Medicaid revenue, and ranks #19 of 225 providers in-state (92th percentile). While this is a large absolute revenue share, the rank and accompanying label indicate the provider’s T1019 volume is high but falls within a broadly typical range among many in-state peers rather than being an extreme outlier.

    S5135 contributes $15.1M (23.7% of Medicaid revenue) and ranks #5 of 52 providers in-state (92th percentile), making CUSTOMCARE a clearly significant supplier of companion care within the subset of providers that bill that code. The 92th percentile rank suggests a strong presence in companion care, even as the annotation describes the volume as typical among peers for that service.

    S5130 accounts for $7.8M (12.3% of Medicaid revenue) and ranks #10 of 236 providers in-state (96th percentile), indicating an especially strong statewide position in homemaker services. The 96th percentile ranking points to above-average standing among peers for S5130 volumes, reinforcing that homemaker services are a meaningful secondary revenue stream.

    Several other codes provide modest supplemental revenue and reflect complementary service lines: S5150 (Unskilled respite care) generates $2.1M (3.2% of revenue) and ranks #6 of 19 (72th percentile), S5121 (Chore services; per diem) generates $2M (3.1%) and ranks #2 of 6 (80th percentile), and S5120 (Chore services; per 15 minutes) generates $1.7M (2.7%) and ranks #4 of 15 (79th percentile). These figures indicate the provider also offers respite and chore service capabilities, but each represents a relatively small share of total Medicaid revenue compared with the top three codes.

    CUSTOMCARE has a long-tenured presence in the data: its NPI was enumerated on 2006-11-01 (~20 years ago). This longevity suggests established operational workflows and potentially stable payer relationships within the Medicaid market, which may support continued volume in its core personal care and homemaker service lines.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1019Personal 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…365,460$100$35.1M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes74,770$200$15.1M
    S5130Homemaker service, nos; per 15 minutes83,420$90$7.8M
    S5150Unskilled respite care, not hospice; per 15 minutes10,390$200$2.1M
    S5121Chore services; per diem3,340$600$2M
    S5120Chore services; per 15 minutes3,000$570$1.7M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Minnesota median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1019Personal 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…1923037,580$70$8.6M
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes5505,600$170$5.9M
    S5150Unskilled respite care, not hospice; per 15 minutes6202,680$150$3.4M
    S5130Homemaker service, nos; per 15 minutes102407,130$40$1M
    S5120Chore services; per 15 minutes420570$160$688.1K
    S5121Chore services; per diem210210$250$535.4K

    Nearby Providers

    Other providers in the same ZIP code as Customcare Cbc, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kang Le LLCMNAdult Day Care Clinic/Center$0$12.7M
    Intrepid Of Golden Valley IncMNHome Health Agency$0$11.8M
    Recover Health Of Minnesota, Inc.MNHome Health Agency$0$10.7M
    Opportunity Partners Inc.MNDevelopmentally Disabled Services Day Training Agency$0$5.2M
    Andrew J Will Md PAMNPhysical Medicine & Rehabilitation Physician$0$5.1M
    Twin Cities Surgery Center, PAMNAmbulatory Surgical Clinic/Center$1.9M$127.8K
    Robert TuttleMNOrthopaedic Surgery Physician$153.6K$0
    Mohammad KassirMNDiagnostic Radiology Physician$139.5K$0
    Bishoy GadMNOrthopaedic Surgery Physician$139.3K$0
    Dirk HalversonMNPodiatrist$135.2K$0

    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. Minnesota Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Customcare Cbc, LLC — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota