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

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

Advanced Personal Care Solutions, Inc. (NPI 1992774624)

Field	Value
Entity Type	Organization
Organization	Advanced Personal Care Solutions, Inc.
Address	8290 W Sahara Ave
City	Las Vegas
State	NV
ZIP	89117
Taxonomy	Home Health Agency
NPI Enumerated	March 15, 2006

Payer Source	Total Paid
Medicaid	$22.3M
Medicare	$0

Key Findings

This provider operates clearly in the Medicaid personal-care/home-support space rather than skilled home health: the dominant codes reported are T1019 (personal care services, per 15 minutes) and S5130 (homemaker service, per 15 minutes), indicating an operational focus on routine personal care and homemaker assistance delivered in short, billable intervals rather than on Medicare-covered skilled nursing or therapy visits. The code descriptions and the billing mix point to a business model aligned with long-term services and supports or state personal-care programs.

Medicaid revenue is effectively the provider's entire publicly billed footprint: total Medicaid revenue is $22.3M and the precomputed top-3 codes account for 100.0% of this provider's total Medicaid revenue, indicating extreme concentration of earnings in a very narrow set of service lines. This concentration implies that changes to reimbursement, program eligibility, or utilization for these specific codes will disproportionately affect the provider's revenue.

T1019 is the single dominant revenue driver: 232.6K claims produced $22.1M in revenue at an average paid/claim of $95, representing 99.1% of the provider's Medicaid revenue. This code-level concentration and the very large claim volume together create a profile of a high-throughput personal-care operation that bills almost exclusively in 15-minute units under T1019.

The provider's statewide competitive positioning for T1019 is unusually large: it ranks #4 of 219 providers in-state and sits in the 99th percentile, described in the source as an "extreme outlier," which signals that this organization is a major statewide player for that service and far exceeds typical state volume for the code. That rank indicates significant market share in the personal-care segment relative to peers.

S5130 is a secondary, much smaller revenue source: 2.9K claims produced $204.3K in revenue at an average paid/claim of $71, accounting for 0.9% of Medicaid revenue. The provider ranks #12 of 61 providers in-state on this code, a standing consistent with typical, unremarkable volume for homemaker services and indicating S5130 is not a primary strategic driver of revenue.

This entity is effectively single-payer in operational scope: there is no Medicare billing on file and all documented fee-for-service revenue is Medicaid-based, so payer mix is concentrated on state Medicaid programs rather than a blend of Medicare and Medicaid. Analysts should treat this provider as Medicaid-dependent when modeling revenue sensitivity or assessing payer negotiations.

The provider has an extended tenure in the market, with NPI enumeration on 2006-03-15 (~20 years ago), which supports the plausibility of the large accumulated claim volume for T1019 and suggests established operational processes for delivering high-frequency, short-interval personal care. Longevity combined with concentrated service lines implies institutional experience in Medicaid personal-care billing.

The extreme revenue concentration in a single code creates operational and reimbursement risk: because 99.1% of Medicaid revenue comes from T1019, any policy, coverage, or rate change affecting that code, or shifts in utilization patterns, would have outsized impact on the provider's $22.3M Medicaid revenue base. From a payer/procurement perspective this makes the provider both a critical supplier for large-volume personal-care capacity and a potential single-service dependency to monitor in contracting and oversight.

Medicaid: Complete Services Breakdown

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

2 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…	232,580	$100	$22.1M
S5130	Homemaker service, nos; per 15 minutes	2,880	$70	$204.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Advanced Personal Care Solutions, Inc. — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	4	220	20,880	$80	$3.4M
S5130	Homemaker service, nos; per 15 minutes	12	60	1,180	$50	$102.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Cross Home Care, LLC.	NV	In Home Supportive Care Agency	$0	$19.4M
Nevada Best Pca, LLC	NV	Personal Care Attendant	$0	$11M
Jay Selznick	NV	Oral and Maxillofacial Surgery (Dentist)	$0	$8.7M
Tufail & Associates	NV	Internal Medicine Physician	$0	$7.5M
Leanne Wright	NV	Speech-Language Pathologist	$0	$6.8M
A Novo Care LLC	NV	In Home Supportive Care Agency	$0	$6.6M
Community Medicine Inc.	NV	Internal Medicine Physician	$0	$6M
Amy Lapres	NV	Pediatric Occupational Therapist	$0	$5.7M
Infectious Disease Specialists, LLC	NV	Infectious Disease Physician	$0	$5.4M
A Next Generation Adhc LLC	NV	Adult Day Care Clinic/Center	$0	$4.9M

Advanced Personal Care Solutions, Inc. — Billing Profile & Reimbursement Data

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Advanced Personal Care Solutions, 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