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

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

Clinton Home Care, Inc. (NPI 1952851735)

Field	Value
Entity Type	Organization
Organization	Clinton Home Care, Inc.
Address	10640 E Bethany Dr Ste 201
City	Aurora
State	CO
ZIP	80014
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	October 5, 2016

Payer Source	Total Paid
Medicaid	$60.3M
Medicare	$0

Key Findings

CLINTON HOME CARE, INC. reports no Medicare billing on file and $60.3M in lifetime Medicaid revenue, making it effectively a Medicaid-centric operator; its NPI was enumerated on 2016-10-05 (~10 years ago), indicating roughly a decade of activity under the current registration.

Revenue is highly concentrated in three Medicaid codes that together account for 100.0% of the provider’s Medicaid revenue, with T1019 alone representing $51.1M (84.7% of Medicaid revenue), S5130 representing $5.5M (9.1%), and H0038 representing $3.7M (6.2%). This concentration means the provider’s financial performance is tightly linked to reimbursement and utilization patterns for these specific time-based home support services.

The provider’s top code mix (T1019, S5130, H0038) aligns with its taxonomy as an In Home Supportive Care Agency: the billed services are primarily time-based personal care (T1019, per 15 minutes), homemaker assistance (S5130, per 15 minutes), and self-help/peer services (H0038, per 15 minutes). This suggests operations focused on repeated, unitized home-care visits and non-medical supportive services rather than skilled home health or acute medical care.

Activity and payment characteristics show T1019 at 30.5K claims with a $1678 avg paid/claim, S5130 at 6K claims with a $914 avg paid/claim, and H0038 at 2.6K claims with a $1457 avg paid/claim, indicating that T1019 drives volume while the other two codes contribute smaller but material revenue pools. These claim counts and average paid-per-claim figures depict a business model built on recurring time-based service delivery.

On competitive standing within Colorado, the provider’s statewide ranks and percentile labels indicate it is a typical, modest participant rather than a market leader: T1019 ranks #84 of 475 (82th percentile; typical, unremarkable volume for this code), S5130 ranks #134 of 342 (61th percentile; typical, unremarkable volume for this code), and H0038 ranks #135 of 276 (51th percentile; typical, unremarkable volume for this code). None of the three top codes show an outlier-level position in state comparisons.

The dominance of a single code (T1019 at $51.1M / 84.7%) creates concentrated exposure to policy or reimbursement changes affecting personal care services; operational or payor policy shifts targeting time-based personal care could have outsized revenue impact. Monitoring state Medicaid policy and unit-rate trends for T1019 should be a priority for analysts assessing financial risk.

Given the current code mix, the provider may have meaningful operational capacity in both direct personal care and adjacent non-medical supports (homemaker and peer services), but those latter lines (S5130 and H0038) currently account for much smaller shares of revenue. From a payer or contracting perspective, there appears to be room to expand or rebalance services beyond T1019 to reduce concentration, assuming market demand and authorization pathways exist.

Because there is no Medicare activity on file, comparisons to national Medicare peers are not applicable; all utilization and competitive assessments should be framed within the Medicaid ecosystem where this provider is an established, Medicaid-focused in-home services supplier.

Medicaid: Complete Services Breakdown

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

3 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…	30,470	$1,680	$51.1M
S5130	Homemaker service, nos; per 15 minutes	5,990	$910	$5.5M
H0038	Self‑help/peer services, per 15 minutes	2,560	$1,460	$3.7M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Clinton Home Care, Inc. — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	135	280	2,330	$210	$4.8M
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…	84	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	134	340	3,530	$80	$1.2M

Nearby Providers

Other providers in the same ZIP code as Clinton Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$194.9M
Smith Agency	CO	Foster Care Agency	$0	$51.9M
Colorado Spirit Home Care	CO	In Home Supportive Care Agency	$0	$46.9M
Alternative Choice Home Care Nursing, LLC	CO	Home Health Agency	$0	$42.7M
Care On Call Colorado, LLC	CO	In Home Supportive Care Agency	$0	$33.8M
Atlas Home Health, Inc.	CO	Home Health Agency	$0	$31.3M
Mercy Home Services	CO	In Home Supportive Care Agency	$0	$27.9M
Community Support Services, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$27M
Support Management	CO	Developmentally Disabled Services Day Training Agency	$0	$26.2M
Thrive Community Options	CO	Developmentally Disabled Services Day Training Agency	$0	$25.3M

Clinton Home Care, Inc. — Billing Profile & Reimbursement Data

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Clinton Home Care, Inc. — 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