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.

Bi-lingual In-home Assistant (NPI 1992804736)

Field	Value
Entity Type	Organization
Organization	Bi-lingual In-home Assistant
Address	8390 Delmar Blvd
City	St Louis
State	MO
ZIP	63124
Taxonomy	Personal Care Attendant
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicaid	$72.3M
Medicare	$0

Key Findings

BI-LINGUAL IN-HOME ASSISTANT is a Personal Care Attendant–type operation whose billing mix is concentrated in time-based, in-home support codes (T1019, S5150, S5130). The dominance of T1019 (personal care services, per 15 minutes) and S5150 (unskilled respite care, per 15 minutes) indicates the business model centers on recurring, short-interval direct care visits rather than episodic clinical services or durable medical equipment.

Medicaid revenue is highly concentrated: the provider reports Total Medicaid revenue of $72.3M and the precomputed top 3 Medicaid codes account for 98.8% of that total. In particular, T1019 generates $61.3M (84.9% of the provider's Medicaid revenue), S5150 generates $9M (12.4%), and S5130 generates $1.1M (1.5%), so nearly all revenue depends on a handful of per-15-minute community care codes.

This entity is effectively single-payer focused: there is no Medicare billing on file, and all reported payer volume comes from Medicaid ($72.3M). Analysts should treat BI-LINGUAL IN-HOME ASSISTANT as a Medicaid-centric provider when assessing competitive exposure, reimbursement sensitivity, and regulatory impacts.

For T1019 the provider is a clear statewide outlier: T1019 has 1M claims for this provider and $61 avg paid/claim for $61.3M revenue, and the provider ranks #14 of 1332 in-state (99th percentile; extreme outlier, far above typical state volume for this code). That ranking signals a dominant operational footprint in the personal care services segment relative to in-state peers, making any policy or rate changes for T1019 particularly material to the provider.

For respite services the provider also shows elevated scale: S5150 appears as 183K claims, $49 avg paid/claim, $9M revenue and the provider ranks #5 of 216 in-state (98th percentile; notably above typical state volume for this code). This position suggests a strong market presence in unskilled respite care and likely operational capacity dedicated to that service line.

Other billed codes are small and comparatively typical: S5130 (37K claims, $29 avg, $1.1M; ranks #10 of 90, 90th percentile), T1001 (14.5K claims, $48 avg, $694.2K; ranks #57 of 417, 87th percentile), and T1028 (2.7K claims, $74 avg, $196.2K; ranks #15 of 88, 84th percentile) together represent marginal shares and are described as typical or unremarkable volumes. These codes are not material to overall revenue relative to the two dominant codes, so competitive or utilization shifts on them will have limited impact.

The provider has long tenure in the NPI system (enumerated 2006-09-21, ~20 years ago), which supports the interpretation that its large Medicaid footprint is sustained rather than transient. That longevity, combined with concentrated Medicaid revenue, suggests established payer relationships and operational scale in in-home personal care services.

From an operational and payer-risk perspective, the extreme concentration in per-15-minute personal care and respite codes makes the provider highly sensitive to utilization changes, rate adjustments, or audit focus on T1019 and S5150. Payer or competitive analysts should monitor authorization, utilization patterns, and any state-level policy updates affecting time-based personal care codes, since shifts in those two codes would disproportionately affect the provider's financial position.

Medicaid: Complete Services Breakdown

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

5 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…	1,005,680	$60	$61.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	183,010	$50	$9M
S5130	Homemaker service, nos; per 15 minutes	37,050	$30	$1.1M
T1001	Nursing assessment / evaluation	14,460	$50	$694.2K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	2,650	$70	$196.2K

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

Bi-lingual In-home Assistant — 2 of 5 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

5 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…	14	1,330	6,550	$80	$4.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	5	220	3,750	$60	$1.3M
T1001	Nursing assessment / evaluation	57	420	1,610	$50	$378.4K
S5130	Homemaker service, nos; per 15 minutes	10	90	3,300	$30	$317.1K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	15	90	150	$90	$164.6K

Nearby Providers

Other providers in the same ZIP code as Bi-lingual In-home Assistant, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Victor's Home Care Cds, LLC	MO	Community Based Hospice Care Agency	$0	$20.3M
Victor's Home Care, LLC.	MO	Home Health Agency	$0	$12M
Victors Home Care LLC	MO	Home Health Agency	$0	$9.7M
Communacare, LLC	MO	In Home Supportive Care Agency	$0	$5.9M
Extracare Cds Services,inc	MO	Home Health Agency	$0	$5M
Harmony Hands Consumer Directed Services, LLC	MO	In Home Supportive Care Agency	$0	$4.6M
Daniel Joseph	MO	Retina Specialist (Ophthalmology) Physician	$951.4K	$0
Lee Portnoff	MO	MOHS-Micrographic Surgery Physician	$355.6K	$0
Kevin Greuloch	MO	Ophthalmology Physician	$272.5K	$0
Ladue Pharmacy LLC	MO	Community/Retail Pharmacy	$199.9K	$0

Bi-lingual In-home Assistant — Billing Profile & Reimbursement Data

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Bi-lingual In-home Assistant — 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