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

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

Aoc Tx, LLC (NPI 1952346876)

Field	Value
Entity Type	Organization
Organization	Aoc Tx, LLC
Address	8001 S Us Highway 75
City	Sherman
State	TX
ZIP	75090
Taxonomy	Home Health Agency
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$708M
Medicare	$0

Key Findings

AOC TX, LLC reports $708M in lifetime Medicaid revenue and has no Medicare billing on file, indicating an effectively single‑payer footprint concentrated in Medicaid rather than a mixed Medicare/Medicaid practice. The absence of Medicare claims on file is a clear operational characteristic and separates its competitive considerations from peers that balance both payers.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 95.8% of the provider's total Medicaid revenue. This concentration—dominated by a very small set of service lines—suggests the business is highly dependent on reimbursement and utilization patterns for those specific codes.

T1000 is the primary revenue driver: 602.5M revenue (85.1% of the provider's total Medicaid revenue) with 1.1M claims and $547 avg paid/claim, and it ranks #1 of 140 providers in-state (100th percentile; extreme outlier). Given T1000 is for Private duty / independent nursing service(s), up to 15 minutes, this indicates the firm operates at very large scale as a private‑duty/independent nursing provider delivering high-volume, short-interval nursing care in the home.

S9124 is the second major contributor: $61.3M revenue (8.7% of the provider's total Medicaid revenue) across 145.1K claims at $422 avg paid/claim, ranking #1 of 61 providers in-state (100th percentile; extreme outlier). Because S9124 describes nursing care in the home by a licensed practical nurse, this further reinforces a business model built around hour-based licensed nursing services and suggests substantial staffing and scheduling operations for LPN home visits.

92507 contributes $14.3M (2.0% of the provider's total Medicaid revenue) over 147.2K claims at $97 avg paid/claim and ranks #14 of 1354 providers in-state (99th percentile; extreme outlier). The high-volume presence in 92507 (speech/communication services) implies a large therapy program alongside nursing services, consistent with a provider delivering both skilled therapy and nursing in home settings, likely serving populations with communication and hearing impairments.

Beyond the top three, the provider also reports notable volumes in related nursing and therapy codes—S9123 ($5.4M, rank #1 of 25, 100th percentile), 97530 ($5.3M, rank #17 of 1616, 99th percentile), and 97110 ($4.7M, rank #14 of 1319, 99th percentile)—which indicate a broader home-based therapy and nursing service mix. These supplementary lines show the organization bills across a spectrum of home health services (RN hours, therapeutic exercise, and functional activities), suggesting vertical integration of clinical care types within its Medicaid business.

From a competitive-stance perspective, AOC TX, LLC is a statewide dominant outlier on core home-nursing codes (T1000 and S9124 both #1 of peers, 100th percentile; labeled extreme outliers) and is among the very highest-volume providers for speech therapy code 92507 (99th percentile). These rank positions indicate the provider is far above typical state volumes and occupies a leading position in Texas for private duty nursing and related home services.

The provider's NPI was enumerated 2006-06-17 (~20 years ago), reflecting a long tenure in the market; combined with $708M of Medicaid revenue and the concentrated, high-volume code mix, this points to an established, large-scale Medicaid operator with sustained focus on home-based nursing and therapy services.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1,101,370	$550	$602.5M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	145,140	$420	$61.3M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	147,210	$100	$14.3M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	9,240	$580	$5.4M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	53,250	$100	$5.3M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	45,630	$100	$4.7M
T1005	Respite care services, up to 15 minutes	29,180	$150	$4.4M
H2015	Comprehensive community support services, per 15 minutes	29,200	$140	$4M
S5125	Attendant care services; per 15 minutes	27,040	$100	$2.6M
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…	20,850	$70	$1.4M

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Aoc Tx, LLC — 7 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1	140	29,740	$490	$24.4M
S5125	Attendant care services; per 15 minutes	1,063	1,680	50,290	$60	$9.5M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1	60	2,200	$330	$2.5M
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…	562	1,050	23,280	$30	$1.8M
H2015	Comprehensive community support services, per 15 minutes	12	120	2,880	$100	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	14	1,350	1,860	$80	$872.4K
T1005	Respite care services, up to 15 minutes	78	560	8,490	$50	$842.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	17	1,620	1,070	$70	$333.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	8	120	450	$100	$304.6K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	1	30	250	$230	$280.3K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Home Health Care, Inc.	TX	Home Health Agency	$0	$12.8M
Advanced Laboratory Services LLC	TX	Clinical Medical Laboratory	$441.4K	$736.6K
Andrew Bossen	TX	Ophthalmology Physician	$1M	$0
Nikhil Joshi	TX	Interventional Cardiology Physician	$973.7K	$0
Vijay Khetpal	TX	Ophthalmology Physician	$945.4K	$0
North Texas Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$883.6K	$0
Roy Lehman	TX	Ophthalmology Physician	$697.6K	$0
William Plauche	TX	Ophthalmology Physician	$631.2K	$0
Aditi Swami	TX	Infectious Disease Physician	$627.3K	$0
Sreenadha Vattam	TX	Interventional Pain Medicine Physician	$530.4K	$0

Aoc Tx, LLC — Billing Profile & Reimbursement Data

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Aoc Tx, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References