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.

En Su Casa Primary Home Care Services, Inc (NPI 1972672749)

Field	Value
Entity Type	Organization
Organization	En Su Casa Primary Home Care Services, Inc
Address	115 N Park Blvd
City	San Antonio
State	TX
ZIP	78204
Taxonomy	Personal Care Attendant
NPI Enumerated	November 7, 2006

Payer Source	Total Paid
Medicaid	$68.3M
Medicare	$0

Key Findings

EN SU CASA PRIMARY HOME CARE SERVICES, INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and all documented lifetime revenue is Medicaid-based totaling $68.3M. The absence of Medicare revenue indicates its operational footprint and reimbursement exposure are concentrated entirely within state Medicaid programs.

Revenue concentration is extreme: the precomputed top three Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with S5125 alone generating $64.5M (94.4% of Medicaid revenue). This level of concentration around a single code indicates that the business’s financial performance is heavily dependent on reimbursement and utilization patterns for that specific service.

The provider’s code mix and taxonomy (Personal Care Attendant) align tightly with high-volume home- and community-based attendant services: S5125 (Attendant care services; per 15 minutes) is the dominant billed service, supported by additional personal care (T1019) and respite care (T1005) codes. This combination suggests the operation is focused on recurring, time-based personal support services delivered in community or home settings rather than episodic medical care.

S5125 shows a statewide competitive footprint that is meaningfully above peers: the provider ranks #25 of 1678 in Texas for S5125 (99th percentile; notably above typical state volume for this code) with 1.1M claims and $64.5M in revenue. That ranking marks the organization as a major statewide participant for attendant care, making it one of the largest billers for that service within Texas.

By contrast, its other two top codes are not as dominant: T1019 produced $2.1M (3.1% of Medicaid revenue) across 43.6K claims and ranks #372 of 1050 in-state (65th percentile; typical, unremarkable volume for this code), while T1005 produced $1.7M (2.5% of Medicaid revenue) across 40.1K claims and ranks #51 of 564 (91th percentile; typical, unremarkable volume for this code). These positions indicate reasonable activity in personal care and respite services but not the same level of market dominance as for S5125.

The provider’s claim volumes underscore operational scale: 1.1M claims for S5125 and tens of thousands of claims for T1019 (43.6K) and T1005 (40.1K) reflect a high-volume, time-based service model that relies on large numbers of short-duration units. Such a billing profile is consistent with agencies that schedule frequent, recurring visits and bill per 15-minute increments.

From a business risk and strategy perspective, the combination of long tenure and revenue concentration is notable: the NPI was enumerated 2006-11-07 (~20 years ago), indicating institutional longevity, but the near-total dependence on S5125 means changes to that code’s reimbursement rules, utilization controls, or state policy could materially affect the provider’s revenue. Analysts should consider both the stability implied by multi-decade operation and the vulnerability stemming from a single-code revenue base.

Competitive interpretation across lines: the organization is a dominant statewide player for attendant care (S5125) but a more modest participant for other personal care/respite services based on rank and percentile differences. For payers and network planners, this profile indicates a high-capacity attendant-care vendor in San Antonio/Texas capable of large-volume service delivery, while its limited diversification suggests opportunities or risks around contracting and utilization management focused on S5125.

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
S5125	Attendant care services; per 15 minutes	1,131,320	$60	$64.5M
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…	43,610	$50	$2.1M
T1005	Respite care services, up to 15 minutes	40,140	$40	$1.7M

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

En Su Casa Primary Home Care Services, Inc — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	25	1,680	50,290	$60	$9.5M
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…	372	1,050	23,280	$30	$1.8M
T1005	Respite care services, up to 15 minutes	51	560	8,490	$50	$842.3K

Nearby Providers

Other providers in the same ZIP code as En Su Casa Primary Home Care Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
H-e-b, LP	TX	Pharmacy	$90.9K	$2K

En Su Casa Primary Home Care Services, Inc — Billing Profile & Reimbursement Data

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En Su Casa Primary Home Care Services, 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