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

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

Pro-health Care, Inc (NPI 1932384666)

Field	Value
Entity Type	Organization
Organization	Pro-health Care, Inc
Address	4710 Central Ave Ne
City	Columbia Heights
State	MN
ZIP	55421
Taxonomy	Home Health Agency
NPI Enumerated	December 31, 2007

Payer Source	Total Paid
Medicaid	$55.4M
Medicare	$0

Key Findings

PRO-HEALTH CARE, INC appears to operate as an effectively single-payer, Medicaid-focused home health agency: there is no Medicare billing on file and the provider’s NPI was enumerated on 2007-12-31 (~19 years ago), indicating long tenure in the market. The absence of Medicare claims suggests its referral and reimbursement relationships are concentrated with Medicaid programs rather than the Medicare population.

Scale of operations is materially tied to Medicaid: total Medicaid revenue is $55.4M and there is no Medicare revenue reported, so Medicaid accounts for the entirety of recorded federal-payer billing activity. This makes the provider’s financial and operational performance highly sensitive to Medicaid policy, contracting, and rate changes.

Revenue is extremely concentrated in a narrow set of service codes: precomputed data show the top 3 Medicaid codes by revenue account for 99.1% of this provider's total Medicaid revenue. Those top three are T1019 ($47.7M, 86.1%), S5135 ($5M, 9.0%), and S5130 ($2.2M, 4.0%), indicating nearly all Medicaid receipts come from personal care, companion care, and homemaker service lines.

The provider’s code mix and unit economics point to a labor‑intensive, in‑home personal care model: T1019 (personal care services) has 635.9K claims with an average paid/claim of $75, S5135 (companion care) has 42.1K claims at $119 avg paid/claim, and S5130 (homemaker service) has 60.1K claims at $37 avg paid/claim. These volumes and relatively low per-claim payments are consistent with recurring, high-frequency caregiver visits rather than episodic medical procedures.

Competitive standing for the largest line, T1019, is strong within the state: T1019 revenue of $47.7M (86.1% of the provider’s Medicaid revenue) ranks #9 of 225 providers in-state and sits in the 96th percentile, described in source notes as notably above typical state volume for this code. That ranking indicates PRO-HEALTH CARE, INC is a major state-level provider for personal care services.

For support services, the provider has a meaningful but less dominant footprint: S5135 (companion care) produces $5M (9.0%) and ranks #6 of 52 providers in-state (90th percentile; typical, unremarkable volume), while S5130 (homemaker) produces $2.2M (4.0%) and ranks #21 of 236 providers in-state (91th percentile; typical, unremarkable volume). These placements show the provider participates at or above typical state volumes for ancillary in‑home supports but is not uniquely dominant across those codes.

H2015 (comprehensive community support services) represents a marginal component of Medicaid revenue at $477.1K (0.9%) and ranks #46 of 139 providers in-state (67th percentile; typical, unremarkable volume). This suggests limited activity in community support relative to the provider’s core personal care and homemaker service lines.

The extreme concentration of Medicaid revenue in a few codes (top 3 = 99.1%) combined with the absence of Medicare billing implies operational and reimbursement exposure: changes to authorization rules, rates, or audit focus for T1019/S5135/S5130 could disproportionately affect the provider’s revenue. For payers and partners, this profile signals a large, Medicaid‑dependent in‑home care supplier with high-volume, low-dollar encounters and concentrated payer risk.

Medicaid: Complete Services Breakdown

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

4 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…	635,910	$80	$47.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	42,100	$120	$5M
S5130	Homemaker service, nos; per 15 minutes	60,100	$40	$2.2M
H2015	Comprehensive community support services, per 15 minutes	5,190	$90	$477.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Minnesota Distribution

Pro-health Care, Inc — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

4 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…	9	230	37,580	$70	$8.6M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	6	50	5,600	$170	$5.9M
S5130	Homemaker service, nos; per 15 minutes	21	240	7,130	$40	$1M
H2015	Comprehensive community support services, per 15 minutes	46	140	2,300	$110	$700.1K

Nearby Providers

Other providers in the same ZIP code as Pro-health Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Temporaries Inc	MN	Home Health Agency	$0	$26.3M
River Oaks Columbia Heights, LLC	MN	Assisted Living Facility	$0	$10.6M
Helena Autism Therapy Center, Inc	MN	Community/Behavioral Health Agency	$0	$7.9M
Carepoint Dental	MN	Dentist	$0	$6.4M
Fairview Express Care	MN	Physical Therapy Clinic/Center	$0	$5M
Shobana Murali	MN	Ophthalmology Physician	$132.1K	$0
James Natwick	MN	Foot & Ankle Surgery Podiatrist	$31.1K	$0
Lisa Dust	MN	Occupational Therapist	$19.3K	$0

Pro-health Care, Inc — Billing Profile & Reimbursement Data

Sign up for Pro-health Care, Inc — Billing Profile & Reimbursement Data policy alerts

Pro-health Care, Inc — Billing Profile & Reimbursement Data

Sign up for Pro-health Care, Inc — 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