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

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

Phoenix Home Care, LLC (NPI 1962793547)

Field	Value
Entity Type	Organization
Organization	Phoenix Home Care, LLC
Address	1839 E Independence St Ste K
City	Springfield
State	MO
ZIP	65804
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	April 29, 2011

Payer Source	Total Paid
Medicaid	$149M
Medicare	$0

Key Findings

PHOENIX HOME CARE, LLC reports no Medicare billing on file and $149M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid operator in the available billing data. The absence of Medicare activity means analysis should focus on Medicaid service mix, reimbursement exposure, and state-level competitive positioning rather than dual-payer dynamics.

Revenue is highly concentrated: the precomputed top three Medicaid codes (T1019, S5150, T1001) account for 98.3% of the provider's total Medicaid revenue. That concentration indicates most of the business is driven by a very small set of minute- or encounter-based in-home service codes rather than a broad mix of outpatient or institutional lines.

The code mix — dominated by T1019 (personal care services, per 15 minutes), S5150 (unskilled respite care, per 15 minutes), and T1001 (nursing assessment/evaluation) — identifies PHOENIX HOME CARE as an in-home supportive care operator focused on high-volume personal care and respite services. High claim counts for minute-based codes imply a workforce- and scheduling-intensive model that relies on frequent, short-duration visits and clinical assessments to support care plans.

T1019 is the single largest driver of revenue: 1.9M claims, $67 avg paid/claim, $128.7M revenue, representing 86.4% of the provider's Medicaid revenue, and the provider ranks #3 of 1332 in-state (100th percentile; extreme outlier). This positioning classifies PHOENIX HOME CARE as a dominant statewide provider for T1019 services and suggests market share and operational scale in personal care that far exceed typical state peers.

T1001 and S5150 together supply most of the remaining top-line Medicaid revenue: T1001 shows 157.7K claims, $49 avg paid/claim, $7.7M revenue and ranks #2 of 417 in-state (100th percentile; extreme outlier), while S5150 has 161.4K claims, $62 avg paid/claim, $10M revenue and ranks #7 of 216 in-state (97th percentile; notably above typical state volume). Both codes reinforce that the provider’s competitive advantage is concentrated in assessment-driven and respite services, with volumes well above typical peers.

Adjacent service lines are present but represent much smaller shares: S5130 (homemaker service) produced 80K claims and $1.8M revenue (1.2% of Medicaid revenue) and ranks #2 of 90 in-state (99th percentile; extreme outlier), indicating an additional but secondary service offering. Several other listed codes (T1028, S5126, T2040, T2028, S5125) each contribute minimal revenue and show percentile rankings described as typical or unremarkable, which signals these are ancillary to the core personal-care and respite business.

The provider’s NPI was enumerated 2011-04-29 (~15 years ago), indicating an established operating history in the state Medicaid market. Taken together with multiple extreme outlier rankings and concentrated Medicaid revenue, PHOENIX HOME CARE appears to be a well-established, high-volume in-home supportive care provider whose financial performance and market influence are tightly linked to a small set of waiver- and Medicaid-funded service codes.

Medicaid: Complete Services Breakdown

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

9 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…	1,921,230	$70	$128.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	161,420	$60	$10M
T1001	Nursing assessment / evaluation	157,700	$50	$7.7M
S5130	Homemaker service, nos; per 15 minutes	80,040	$20	$1.8M
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	7,240	$50	$383.7K
S5126	Attendant care services; per diem	3,170	$90	$282.1K
T2040	Financial management, self-directed, waiver; per 15 minutes	960	$130	$122K
T2028	Specialized supply, not otherwise specified, waiver	110	$160	$17.5K
S5125	Attendant care services; per 15 minutes	50	$70	$3.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Missouri Distribution

Phoenix Home Care, LLC — 4 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. Missouri median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	4	10	21,120	$90	$8.5M
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…	3	1,330	6,550	$80	$4.6M
S5126	Attendant care services; per diem	4	10	13,270	$150	$3.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	7	220	3,750	$60	$1.3M
T1001	Nursing assessment / evaluation	2	420	1,610	$50	$378.4K
S5130	Homemaker service, nos; per 15 minutes	2	90	3,300	$30	$317.1K
T2040	Financial management, self-directed, waiver; per 15 minutes	9	20	850	$70	$250.4K
T2028	Specialized supply, not otherwise specified, waiver	9	10	220	$120	$198.9K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	6	90	150	$90	$164.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Phoenix Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoenix Home Care, LLC	MO	Nursing Care Agency	$0	$199.5M
Proactive Home Care, LLC	KS	Home Health Agency	$0	$5.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Burrell, Inc.	MO	Community/Behavioral Health Agency	$0	$758.9M
Integrity Home Care, LLC	MO	Home Health Agency	$0	$115.7M
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$64.5M
Preferred Family Healthcare, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23M
Premier Home Health Care, Inc.	MO	Home Health Agency	$0	$12.1M
Burrell, Inc.	MO	Community/Behavioral Health Agency	$0	$9.1M
2gethertech, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.5M
Mercy Hospital Springfield	MO	General Acute Care Hospital	$0	$6.6M
Easter Seals Midwest	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.7M
Elite Pain Management, LLC	MO	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$3.5M

Phoenix Home Care, LLC — Billing Profile & Reimbursement Data

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Phoenix Home 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

Related Providers

Nearby Providers

Frequently Asked Questions

References