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    OpenPayerNPI Medicare & MedicaidCare Solutions, Inc.
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    Care Solutions, Inc. — Billing Profile & Reimbursement Data

    NPI 1982739413 · Monroe, LA · Child Intellectual and/or Developmental Disabilities Respite Care

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    Care Solutions, Inc. is a child intellectual and/or developmental disabilities respite care provider located in Monroe, Louisiana. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCare Solutions, Inc.
    Address509 N 2nd St
    CityMonroe
    StateLA
    ZIP71201
    TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
    NPI EnumeratedFebruary 23, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$49.8M
    Medicare$0

    Key Findings

    CARE SOLUTIONS, INC. reports no Medicare billing on file and $49.8M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation in the dataset rather than a mixed Medicare/Medicaid provider. This payer concentration should be interpreted as Medicaid-driven rather than balanced across federal programs.

    Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, indicating nearly all Medicaid dollars flow through a very small set of service codes. That concentration creates a clear linkage between coding patterns for those top codes and the provider’s overall financial profile.

    The dominant billed code is S5125 (Attendant care services; per 15 minutes), which accounts for the entirety of reported Medicaid revenue with 323.1K claims, $154 avg paid/claim, and $49.8M revenue (100.0% of this provider's total Medicaid revenue). This code mix and the provider’s taxonomy (Child Intellectual and/or Developmental Disabilities Respite Care) strongly indicate an operational focus on high-volume, short-interval attendant care and respite services rather than episodic clinical procedures.

    The claims volume for S5125 (323.1K claims) combined with the per-15-minute billing unit implies a high-throughput, time-based service model typical of attendant or personal care agencies; the $154 avg paid/claim should be read in the context of aggregated 15-minute billing units rather than single-encounter professional visits. Operationally, this suggests staffing, scheduling, and documentation practices are central to revenue generation.

    Competitive standing in-state is pronounced: S5125 at this provider ranks #4 of 486 providers in Louisiana (99th percentile; extreme outlier, far above typical state volume for this code), identifying CARE SOLUTIONS, INC. as a major, high-volume provider of attendant care within the state market. That rank signals market dominance for this specific service line among peers.

    Because 100.0% of Medicaid revenue is tied to S5125 and there is no Medicare revenue, the provider is exposed to policy, rate, or eligibility changes that affect Medicaid attendant-care reimbursement; any substantive change to S5125 reimbursement, utilization controls, or program eligibility could materially impact overall revenue. This concentration also limits revenue diversification.

    The NPI was enumerated on 2007-02-23 (~19 years ago), indicating long-standing enrollment in federal provider systems; this tenure supports a sustained operational presence in the Medicaid attendant-care market rather than a short-term entrant. Longevity may correlate with established referral and operational processes for time-based attendant services.

    The absence of Medicare billing combined with the Child Intellectual and/or Developmental Disabilities Respite Care taxonomy and heavy reliance on S5125 suggests the provider’s clientele and service design are oriented toward Medicaid-eligible populations requiring attendant/respite care rather than older adult or Medicare-covered clinical populations. Analysts should therefore benchmark performance and compliance metrics against high-volume Medicaid attendant-care peers rather than mixed-payer home health providers.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes323,080$150$49.8M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes449035,970$140$7.3M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Affinity Health Group, LLCLAFamily Medicine Physician$0$34.6M
    Ascent Health, IncLACommunity/Behavioral Health Agency$0$31.4M
    Cognitive Development Center Personal Care ServicesLANursing Care Agency$0$27.8M
    St Francis Medical Center, IncLAGeneral Acute Care Hospital$0$27.2M
    Enrich Personal Care Services, LLC.LAPreferred Provider Organization$0$26.7M
    Southern Center For Children And Families, Inc.LACommunity/Behavioral Health Agency$0$24.5M
    Afnb Home Care LLCLAIn Home Supportive Care Agency$0$19.3M
    D & D Community ConnectionsLAPreferred Provider Organization$0$19.2M
    Hearts Desire LLCLAIn Home Supportive Care Agency$0$17.3M
    Building FuturesLASpeech-Language Pathologist$0$17M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Louisiana Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Care Solutions, Inc. — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana