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    OpenPayerNPI Medicare & MedicaidOutreach Health Community Care Services LP
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    Outreach Health Community Care Services LP — Billing Profile & Reimbursement Data

    NPI 1932274966 · San Antonio, TX · Personal Care Attendant

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    Outreach Health Community Care Services LP is a personal care attendant provider located in San Antonio, Texas. This profile covers 0 Medicare and 9 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
    OrganizationOutreach Health Community Care Services LP
    Address85 Ne Loop 410 Ste 620
    CitySan Antonio
    StateTX
    ZIP78216
    TaxonomyPersonal Care Attendant
    NPI EnumeratedNovember 22, 2006

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

    Payer SourceTotal Paid
    Medicaid$52.8M
    Medicare$0

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes810,990$60$47M
    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…50,080$50$2.3M
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes4,220$370$1.6M
    T1005Respite care services, up to 15 minutes22,610$50$1.2M
    S9124Nursing care, in the home; by licensed practical nurse, per hour2,200$180$385.2K
    T2017Habilitation, residential, waiver; 15 minutes1,380$80$111.5K
    H2015Comprehensive community support services, per 15 minutes690$150$105.6K
    T2040Financial management, self-directed, waiver; per 15 minutes1,850$50$85.1K
    S5161Emergency response system; service fee, per month (excludes installation and testing)1,620$30$47.1K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes12814029,740$490$24.4M
    S5125Attendant care services; per 15 minutes621,68050,290$60$9.5M
    T2017Habilitation, residential, waiver; 15 minutes536019,340$80$3M
    S9124Nursing care, in the home; by licensed practical nurse, per hour31602,200$330$2.5M
    T2040Financial management, self-directed, waiver; per 15 minutes24404,490$30$2.5M
    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…3271,05023,280$30$1.8M
    H2015Comprehensive community support services, per 15 minutes961202,880$100$1.2M
    S5161Emergency response system; service fee, per month (excludes installation and testing)10107,550$30$885.2K
    T1005Respite care services, up to 15 minutes1075608,490$50$842.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Outreach Health Community Care Services LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Outreach Health Community Care Services LPTXHome Health Agency$0$52.4M
    Outreach Health Community Care Services LPTXHome Health Agency$0$46.7M
    Outreach Health Community Care Services LPTXHome Health Agency$0$33.6M
    Outreach Health Community Care Services LPTXHome Health Agency$0$21.3M

    Nearby Providers

    Other providers in the same ZIP code as Outreach Health Community Care Services LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pyra Med Health Services, LLCTXHome Health Agency$0$67.7M
    Wave HealthcareTXDurable Medical Equipment & Medical Supplies$0$65.3M
    The Home Care Team, Inc.TXHome Health Agency$0$53.9M
    Ability Homecare, LLCTXHome Health Agency$0$52.5M
    Pride Phc Services IncTXHome Health Agency$0$51.6M
    National Nursing And Rehab Sa Pediatrics, LLCTXHome Health Agency$0$46.3M
    Alliance Medical Supply, LLCTXDurable Medical Equipment & Medical Supplies$0$34.8M
    Stonebridge Behavioral Health, P.A.TXClinical Psychologist$0$17.6M
    Premieant IncTXAdult Care Home Facility$0$12.9M
    Simply The Best Home Therapy, LLCTXHome Health Agency$0$11.5M

    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.

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    Medicaid Revenue by Year vs. Texas Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Outreach Health Community Care Services LP — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas