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

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

Access Care At Home (NPI 1972942977)

Field	Value
Entity Type	Organization
Organization	Access Care At Home
Address	708 W Cameron Ave
City	Kellogg
State	ID
ZIP	83837
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	June 23, 2013

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

Key Findings

ACCESS CARE AT HOME is effectively a single-payer Medicaid operator: there is no Medicare billing on file while total reported Medicaid revenue is $12.9M, indicating the provider’s entire documented payer footprint in this data is concentrated in Medicaid. This profile suggests their operational exposure and revenue stream are driven almost entirely by state Medicaid programs rather than fee-for-service Medicare.

Revenue for this provider is highly concentrated in a small set of service codes: T1019 accounts for $10M (77.7% of Medicaid revenue), S5130 accounts for $2M (15.9%), and S5125 accounts for $730.3K (5.7%); the top 3 Medicaid codes by revenue together account for 99.3% of this provider’s total Medicaid revenue. This concentration implies the business is largely supported by a narrow set of recurring, per-15-minute home care services.

The code mix and taxonomy (In Home Supportive Care Agency) point to a frontline, non-skilled personal care operation: T1019 (personal care services, per 15 minutes), S5130 (homemaker services, per 15 minutes), and S5125 (attendant care, per 15 minutes) are all time-based, hands-on support services. High volumes for these codes imply a substantial direct-care workforce and billing model built around frequent, short-interval encounters rather than episodic medical procedures.

ACCESS CARE AT HOME is a major statewide player for the largest service lines: T1019 reports 116.1K claims and ranks #4 of 101 providers in-state (97th percentile) and S5130 reports 85.1K claims and ranks #4 of 77 providers in-state (96th percentile); both are described as notably above typical state volume. These rankings indicate the provider is among the top operators in Idaho for personal care and homemaker services, with a clearly above-average market presence for those codes.

S5125 (attendant care) is a meaningful but secondary revenue driver: 24.3K claims produced $730.3K (5.7% of Medicaid revenue) and the provider ranks #8 of 44 (84th percentile) for this code, which is characterized as typical or unremarkable volume. This suggests attendant care complements the primary personal-care footprint but is not the dominant service line.

Several ancillary codes contribute only marginal revenue and reflect supplementary services: A0080 (non-emergency transportation) generated $50.2K and ranks #8 of 18 (59th percentile), S5135 (companion care) generated $18.9K and ranks #7 of 7 (0th percentile), T1001 (nursing assessment) generated $17.5K and ranks #21 of 45 (55th percentile), and T2022 (case management) generated $8.8K and ranks #4 of 4 (0th percentile). These small-dollar lines account for immaterial portions of the $12.9M Medicaid total and appear to be ancillary to the provider’s core per-15-minute personal care services.

The provider has an established enrollment history, with NPI enumeration on 2013-06-23 (~13 years ago), and the sustained, high-volume Medicaid billing patterns for T1019 and S5130 indicate operational continuity and scale in in-home support services over multiple years. Long tenure combined with large claim volumes for key codes suggests a stable service footprint in the state Medicaid market.

Because 99.3% of Medicaid revenue is tied to a narrow set of time-based personal care codes, ACCESS CARE AT HOME’s revenue profile is vulnerable to changes in Medicaid policy, reimbursement rates, or per-visit authorization practices affecting T1019, S5130, and S5125. From a payer or network-planning perspective, this concentration highlights the importance of monitoring state rate-setting and authorization trends for per-15-minute home care services when evaluating contracting or oversight risk.

Medicaid: Complete Services Breakdown

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

7 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…	116,110	$90	$10M
S5130	Homemaker service, nos; per 15 minutes	85,050	$20	$2M
S5125	Attendant care services; per 15 minutes	24,340	$30	$730.3K
A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	1,670	$30	$50.2K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	150	$120	$18.9K
T1001	Nursing assessment / evaluation	320	$60	$17.5K
T2022	Case management, per month	50	$190	$8.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Access Care At Home — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	8	40	5,180	$110	$2.3M
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	100	11,400	$80	$2M
S5130	Homemaker service, nos; per 15 minutes	4	80	12,220	$20	$537.5K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	7	10	620	$40	$169.5K
T1001	Nursing assessment / evaluation	21	50	260	$60	$77K
T2022	Case management, per month	4	10	110	$120	$75.7K
A0080	Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest	8	20	1,290	$10	$26.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dirne Health Centers, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$6.5M
Shoshone Medical Center	ID	Critical Access Hospital	$0	$841.7K
County Of Shoshone Joint School District 391	ID	Local Education Agency (LEA)	$0	$490.3K
Kellogg Physical Therapy Inc	ID	Physical Therapist	$0	$464.6K
Rusty Wood	ID	Physical Therapist	$93.8K	$0
Benjamin Krasin	ID	Internal Medicine Physician	$91.4K	$0
Jared Bowman	ID	Chiropractor	$64K	$0

Access Care At Home — Billing Profile & Reimbursement Data

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Access Care At Home — Billing Profile & Reimbursement Data

Sign up for Access Care At Home — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References