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

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

Shamrock Consumer Care, LLC (NPI 1922391093)

Field	Value
Entity Type	Organization
Organization	Shamrock Consumer Care, LLC
Address	220 W Argonne Dr Ste D
City	Kirkwood
State	MO
ZIP	63122
Taxonomy	Supports Brokerage Agency
NPI Enumerated	May 24, 2011

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 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…	126,190	$60	$7.1M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Shamrock Consumer Care, LLC — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

1 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…	113	1,330	6,550	$80	$4.6M

Nearby Providers

Other providers in the same ZIP code as Shamrock Consumer Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Corning Home Health Care LLC	MO	Home Health Agency	$0	$19.7M
Algonquin Nurses Home Health Care I, LLC	MO	In Home Supportive Care Agency	$0	$8.5M
Bethesda Lutheran Homes & Svcs Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.9M
Eye Surgical Services LLC	MO	Ambulatory Surgical Clinic/Center	$2.2M	$31.4K
Ramona Behshad	MO	MOHS-Micrographic Surgery Physician	$658.1K	$0
Zia Ahmad	MO	Cardiovascular Disease Physician	$507.4K	$0
City Of Kirkwood	MO	Land Ambulance	$318.1K	$140.3K
Michael Hubbard	MO	Orthopaedic Surgery Physician	$298.3K	$0
Steven Stahle	MO	Sports Medicine (Family Medicine) Physician	$228K	$0
Luciann Hruza	MO	Dermatology Physician	$184.7K	$0

Shamrock Consumer Care, LLC — Billing Profile & Reimbursement Data

Sign up for Shamrock Consumer Care, LLC — Billing Profile & Reimbursement Data policy alerts

Shamrock Consumer Care, LLC — Billing Profile & Reimbursement Data

Sign up for Shamrock Consumer Care, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References