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

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

Acorn Care LLC (NPI 1952449704)

Field	Value
Entity Type	Organization
Organization	Acorn Care LLC
Address	152 W Burton Ave Ste H
City	Salt Lake City
State	UT
ZIP	84115
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicaid	$28.3M
Medicare	$0

Key Findings

ACORN CARE LLC reports no Medicare billing on file and $28.3M in lifetime Medicaid revenue, making its active payer footprint effectively single-payer and heavily concentrated in Medicaid-funded home and personal care services. This profile should be read as a Medicaid-dominant operation rather than a mixed Medicare/Medicaid provider.

Revenue is highly concentrated in a small set of service codes: the precomputed top 3 Medicaid codes account for 90.2% of the provider's Medicaid revenue, with T1021 ($13.5M, 47.6%), S9122 ($10.8M, 38.1%), and T1019 ($1.3M, 4.5%) together driving the vast majority of receipts. This concentration indicates limited diversification of payer-side service lines within Medicaid.

The code mix (T1021 and S9122 as the top two codes) indicates ACORN CARE operates primarily as an in-home supportive care agency delivering direct personal care and home health aide services, with both per-visit (T1021) and per-hour (S9122) billing models prominent. The presence of homemaker (S5130) and attendant care (S5125) codes further supports a service-line focus on hands-on, in-home assistance rather than clinical or medical procedures.

ACORN CARE is a dominant statewide provider for several key codes: T1021 ranks #1 of 41 providers in-state (100th percentile; labeled an "extreme outlier, far above typical state volume for this code"), and S9122 ranks #1 of 11 providers in-state (100th percentile; labeled "notably above typical state volume for this code"). Those #1 rankings and 100th percentile standings indicate the provider holds leading market share in the state for core home aide services.

Claims volume and unit payments reveal scale and pricing mix: T1021 shows 217K claims at $62 avg paid/claim generating $13.5M, while S9122 shows 100.7K claims at $107 avg paid/claim generating $10.8M. The combination of very high per-visit volumes for T1021 and substantial per-hour billing for S9122 suggests operational capacity for both frequent short visits and longer hourly shifts, driving the provider's large Medicaid revenue base.

Smaller but relevant codes show limited revenue diversification: T1019 (24.5K claims, $52 avg, $1.3M; ranks #4 of 29 in-state, 89th percentile) and S5130 (24.1K claims, $46 avg, $1.1M; ranks #1 of 4 in-state, 100th percentile) each contribute single-digit percentages of total Medicaid revenue. S5125 ($954.8K, 3.4%) and T1001 ($708K, 2.5%) further round out the portfolio, indicating most ancillary services remain materially smaller than the two dominant codes.

Several codes are explicitly labeled as statistical outliers in-state (T1021 and S5125 labeled "extreme outlier," S9122 labeled "notably above typical"), signaling volumes far above peer providers for those service lines; such designations typically translate into heightened market visibility and may affect payer contracting dynamics and utilization management focus. These outlier labels underscore that ACORN CARE's market position is defined by exceptional dominance in specific home-care codes rather than broad-based service parity with peers.

The provider has a long-tenured NPI (enumerated 2007-02-02, ~19 years ago), and when combined with $28.3M in Medicaid revenue and the high-volume code mix, this tenure is consistent with an established, large-scale in-home supportive care operator in Utah. Analysts evaluating competitive positioning should treat ACORN CARE as an experienced, Medicaid-focused home-care incumbent with concentrated service offerings.

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 Code	Description	Claims	Avg Paid	Revenue
T1021	Home health aide or certified nurse assistant, per visit	216,970	$60	$13.5M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	100,690	$110	$10.8M
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…	24,540	$50	$1.3M
S5130	Homemaker service, nos; per 15 minutes	24,150	$50	$1.1M
S5125	Attendant care services; per 15 minutes	27,280	$40	$954.8K
T1001	Nursing assessment / evaluation	7,780	$90	$708K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Acorn Care LLC — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1021	Home health aide or certified nurse assistant, per visit	1	40	10,290	$60	$1.7M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	1	10	5,040	$80	$1.7M
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…	4	30	6,130	$110	$1.1M
T1001	Nursing assessment / evaluation	11	70	700	$80	$603.4K
S5130	Homemaker service, nos; per 15 minutes	1	10	4,020	$50	$382.4K
S5125	Attendant care services; per 15 minutes	1	10	1,150	$70	$308.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abs Utah, P.C.	UT	Community/Behavioral Health Agency	$0	$197.1M
Rathburn Healthcare LLC	UT	Home Health Agency	$0	$19.1M
Granite School District	UT	Local Education Agency (LEA)	$0	$10.7M
Salt Lake Homecare	UT	Home Health Agency	$0	$8.7M
Norco, Inc.	UT	Durable Medical Equipment & Medical Supplies	$0	$8M
City Of South Salt Lake	UT	Land Ambulance	$93.1K	$6.7M
Care Advocates LLC	UT	Case Management Agency	$0	$6.2M
Advocates For Independence LLC	UT	Case Management Agency	$0	$5.9M
Discovery House Utah, Inc.	UT	Methadone Clinic	$132.4K	$4.7M
Duramed LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$4.1M

Acorn Care LLC — Billing Profile & Reimbursement Data

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Acorn Care 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