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.

Advance Hi-tech Nursing, Inc. (NPI 1962432682)

Field	Value
Entity Type	Organization
Organization	Advance Hi-tech Nursing, Inc.
Address	6243 W Ih 10
City	San Antonio
State	TX
ZIP	78201
Taxonomy	Personal Care Attendant
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$399.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $399.4M in lifetime Medicaid revenue, indicating it operates effectively as a Medicaid-focused organization rather than a dual-payer provider. The absence of Medicare activity combined with this scale of Medicaid receipts points to a business model built around state-funded long-term supports and home/community-based services rather than traditional Medicare-covered clinical care.

Revenue is highly concentrated in a small set of Medicaid service lines: the top three codes (S5125, T2017, T2040) account for 88.1% of the provider's total Medicaid revenue. S5125 alone drives the majority of revenue (72.4%), with T2017 and T2040 contributing 9.2% and 6.5% respectively, making the organization heavily dependent on a narrow set of attendant care and waiver-related payments.

The code mix (S5125, T2017, T2040, T1005, S9124, T1019) signals an operation centered on attendant/personal care and Medicaid waiver services: high-volume attendant care (S5125 – per 15 minutes), residential habilitation (T2017), and self-directed waiver financial management (T2040) are core activities. This pattern suggests the organization provides hands-on personal assistance, day/residential habilitation supports, and administrative/financial services for self-directed waiver participants rather than medical or institutional care.

On statewide competitive standing, the provider is a dominant outlier for several key codes. It ranks #2 of 1678 providers for S5125 (100th percentile; extreme outlier, far above typical state volume for this code), and it ranks #1 of 55 for T2017 and #1 of 42 for T2040 (both 100th percentile; extreme outlier, far above typical state volume for these codes), indicating market-leading scale in attendant care and waiver program administration within the state.

Several additional codes reinforce breadth within home/community services. T1005 (respite) generated $17.1M and ranks #2 of 564 (100th percentile; extreme outlier, far above typical state volume), while S9124 (nursing care, LPN hourly) produced $16.9M and ranks #2 of 61 (98th percentile; notably above typical state volume), showing the provider supplements attendant services with both respite and licensed nursing capacity.

Not all high-volume codes are anomalous: T1019 (personal care services) appears with $11.5M and 185.3K claims and ranks #89 of 1050 (92th percentile; typical, unremarkable volume for this code), indicating participation in more common personal-care billing streams alongside its outlier activity. This mix suggests the organization operates both as a major specialized waiver/attendant provider and as a conventional personal care vendor for certain programs.

The provider’s enrollment history (NPI enumerated 2006-07-05 (~20 years ago)) shows long tenure in the market, which is consistent with the scale and concentration observed: sustained operations over ~20 years could enable the administrative capacity needed to manage high-volume waiver and self-directed financial management services. Longevity supports the interpretation that the high volumes are established operational behavior rather than a short-term anomaly.

The extreme concentration in a handful of Medicaid codes creates strategic exposure to state policy or rate changes affecting attendant care and waiver services. While the provider’s dominant statewide rankings likely give it negotiating and contracting advantages within Medicaid networks, the business is also vulnerable if payment rules, prior authorization, or program scope for S5125, T2017, or T2040 are altered given these codes together drive 88.1% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	4,317,640	$70	$289.3M
T2017	Habilitation, residential, waiver; 15 minutes	423,570	$90	$36.9M
T2040	Financial management, self-directed, waiver; per 15 minutes	1,078,670	$20	$25.9M
T1005	Respite care services, up to 15 minutes	280,320	$60	$17.1M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	42,250	$400	$16.9M
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…	185,330	$60	$11.5M
H2015	Comprehensive community support services, per 15 minutes	20,400	$90	$1.8M
T2021	Day habilitation, waiver; per 15 minutes	50	$0	$0

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

Advance Hi-tech Nursing, Inc. — 5 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	2	1,680	50,290	$60	$9.5M
T2017	Habilitation, residential, waiver; 15 minutes	1	60	19,340	$80	$3M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2	60	2,200	$330	$2.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	1	40	4,490	$30	$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…	89	1,050	23,280	$30	$1.8M
H2015	Comprehensive community support services, per 15 minutes	15	120	2,880	$100	$1.2M
T1005	Respite care services, up to 15 minutes	2	560	8,490	$50	$842.3K
T2021	Day habilitation, waiver; per 15 minutes	1	10	50	$0	$0

Nearby Providers

Other providers in the same ZIP code as Advance Hi-tech Nursing, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Directed Services In Texas, Inc.	TX	Supports Brokerage Agency	$0	$624M
Disability Services Of The Southwest, Inc	TX	Home Health Agency	$0	$303M
Ctw Home Health, LLC	TX	Home Health Agency	$0	$43.9M
Lone Star Ambulance, Inc	TX	Ambulance	$1.7M	$2.6M
Wesam Aziz	TX	Internal Medicine Physician	$665.5K	$0
Javier Roman-gonzalez	TX	Clinical Cardiac Electrophysiology Physician	$528.5K	$0
Renata Ford	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$103.6K	$0
Gary Maszak	TX	Cardiovascular Disease Physician	$95.7K	$0
Rachel Devoto	TX	Certified Registered Nurse Anesthetist	$15.4K	$0
John Nwankwo	TX	Anesthesiology Physician	$10.7K	$0

Advance Hi-tech Nursing, Inc. — Billing Profile & Reimbursement Data

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Advance Hi-tech Nursing, 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