County: Maricopa County (04013)
State: Arizona (AZ)
Generated: April 30, 2026
SeniorIndex — Institutional Grade Intelligence
Data Vintage & Sources
CMS Quality StarsCMS PDC, April 2026
Patient Survey (HHCAHPS)CMS PDC, April 2026
VBP PerformanceCMS Performance Year 2025
Cost Data (HCRIS)FY2025
Service Area CoverageCMS ZIP Service Areas, April 2026
County GeographyCensus ZCTA-to-County Crosswalk
109
HQ in County
Agencies based here
120
Serving County
Including non-HQ agencies
62%
VBP Participants
75 of 120 agencies
135
ZIPs Covered
Avg 54.1 agencies per ZIP
CMS Quality Stars Benchmarks
This County
—
See distribution below
Arizona Average
3.32
CMS quality stars
National Average
3.24
CMS quality stars
109 agencies are headquartered in Maricopa County.
An additional 11 agencies based in neighboring counties
extend their service areas into the county, bringing total coverage to
120 agencies across 135 ZIP codes.
75 agencies (62.5%) participate in CMS
Value-Based Purchasing — the federal program that adjusts Medicare payments based
on quality performance. Non-participants are not subject to CMS payment adjustments
and are not measured in the VBP framework.
Ownership Composition
| PROPRIETARY |
81 |
|
74.3% |
| Unknown |
22 |
|
20.2% |
| NON-PROFIT |
5 |
|
4.6% |
| GOVERNMENT OPERATED |
1 |
|
0.9% |
Quality star ratings are assigned by CMS from OASIS-based clinical outcome measures and Medicare claims data.
Agencies below CMS minimum episode volume thresholds receive no rating.
State average: 3.32 stars |
National average: 3.24 stars
Not Rated (below CMS volume threshold)
39
Patient Survey Stars (HHCAHPS)
3.18
Avg CMS survey stars — 51 agencies rated
Patient survey stars measure experience across professional care, communication,
medication management, and overall rating. Administered by CMS via HHCAHPS.
Survey ratings are independent of clinical quality ratings.
Coverage note: 39 agencies in this county have no CMS quality
star rating — typically lower-volume operations below CMS thresholds.
These agencies are included in competitive density counts but excluded
from quality star averages.
Ranked by CMS-assigned quality star rating (highest first), then by CMS VBP Total Performance Score.
Survey stars are CMS HHCAHPS patient experience ratings. VBP adjustment is CMS payment modifier (±5%).
| # |
Agency Name |
City |
CMS Quality Stars |
Survey Stars |
VBP Adjustment |
| 1 |
EMBLEM HOME HEALTH PHOENIX |
PHOENIX |
★★★★★ (5.0)
|
3.0 |
+3.05% |
| 2 |
NIGHTINGALE HOMECARE |
PHOENIX |
★★★★★ (5.0)
|
5.0 |
+1.32% |
| 3 |
EMBLEM HOME HEALTH |
TEMPE |
★★★★★ (5.0)
|
3.0 |
+1.08% |
| 4 |
VICTORY HOME CARE AGENCY |
MESA |
★★★★★ (5.0)
|
5.0 |
+0.90% |
| 5 |
COVENANT HOME HEALTH |
PHOENIX |
★★★★½ (4.5)
|
2.0 |
+3.89% |
| 6 |
SUMMIT HOME HEALTH LLC |
PHOENIX |
★★★★½ (4.5)
|
3.0 |
+2.93% |
| 7 |
COMMUNITY FIRST HOME HEALTH CARE, LLC |
WICKENBURG |
★★★★½ (4.5)
|
1.0 |
+2.87% |
| 8 |
VALLEY OF THE SUN HOME HEALTH CARE, LLC |
GLENDALE |
★★★★½ (4.5)
|
2.0 |
+1.77% |
| 9 |
PALMEIRA HOME HEALTHCARE |
PHOENIX |
★★★★½ (4.5)
|
1.0 |
+1.11% |
| 10 |
ANGELS CARE HOME HEALTH OF BEECH |
SUN CITY WEST |
★★★★½ (4.5)
|
3.0 |
+0.93% |
| 11 |
BILLET HOME HEALTH INC- PEORIA |
PEORIA |
★★★★½ (4.5)
|
2.0 |
+0.17% |
| 12 |
AMERICAN PREMIER HOME HEALTH CARE |
PHOENIX |
★★★★½ (4.5)
|
3.0 |
-0.22% |
| 13 |
HAGGAI HEALTHCARE CORP |
PHOENIX |
★★★★½ (4.5)
|
3.0 |
-0.60% |
| 14 |
AMEDISYS HOME HEALTH CARE |
PHOENIX |
★★★★½ (4.5)
|
4.0 |
-0.92% |
| 15 |
SWEETHEART HEALTHCARE LLC |
CHANDLER |
★★★★½ (4.5)
|
4.0 |
-1.26% |
Avg Total Performance Score
29.6
County VBP participants
Avg Payment Adjustment
-0.42%
Medicare revenue impact
Positive Adjustments
41.8%
28 of 67 participants
Payment Adjustment Distribution
■ Positive (28 agencies)
■ Neutral (0)
■ Negative (39)
| Agency Name | City | Total Performance Score | Payment Adjustment | VBP Cohort |
| HOME SWEET HOME HEALTH AGENCY |
TEMPE |
57.5 |
+3.98% |
Larger-volume |
| COVENANT HOME HEALTH |
PHOENIX |
56.9 |
+3.89% |
Larger-volume |
| PREMIER ONE HOME CARE, LLC |
MESA |
55.4 |
+2.63% |
Smaller-volume |
| EMBLEM HOME HEALTH PHOENIX |
PHOENIX |
51.6 |
+3.05% |
Larger-volume |
| SUMMIT HOME HEALTH LLC |
PHOENIX |
50.8 |
+2.93% |
Larger-volume |
| COMMUNITY FIRST HOME HEALTH CARE, LLC |
WICKENBURG |
50.4 |
+2.87% |
Larger-volume |
| ASPIRE HOME HEALTHCARE OF ARIZONA, INC. |
SCOTTSDALE |
47.9 |
+1.60% |
Smaller-volume |
| FREEDOM HOME HEALTH |
GILBERT |
44.5 |
+1.14% |
Smaller-volume |
Source: HCRIS Medicare cost reports filed with CMS. 55 of 109 county agencies
have cost report data. Cost-per-visit values clamped to $50–$1,000 to exclude outliers.
Avg Cost Per Visit
$122
-$17.09 vs national avg ($139)
State Avg CPV (AZ)
$117
For comparison
Median CPV
$106
HCRIS-reporting agencies
Revenue Mix (HCRIS)
Medicare 85.9%
Medicaid 13.0%
■ Medicare 85.9%
■ Medicaid 13.0%
■ Private Pay 2.4%
Source: U.S. Census Bureau American Community Survey (ACS), 2022. County-level demographic
data joined via Census ZCTA-to-county crosswalk. Medicare beneficiary counts from CMS
where available.
Total Population
4,430,871
Maricopa County
65+ Population
692,770
15.6% of total — below AZ avg (18.1%)
75+ Population
293,334
6.6% of total population
Agencies per 10K Seniors
1.6
HQ agencies vs 65+ population
65+ Population Rate Benchmarks
Economic Context
| Metric |
County |
AZ |
National |
| Median Household Income |
$80,675 |
$59,726 |
$62,327 |
| Poverty Rate |
11.5% |
17.6% |
15.1% |
| Population 85+ |
79,800 |
— |
— |
Demand signal: Maricopa County has 692,770 seniors 65+,
with 109 home health agencies headquartered in the county —
1.6 agencies per 10,000 seniors.
Higher income markets tend to support private-pay home health services alongside Medicare.
Number of agencies extending service area into each ZIP code within Maricopa County.
Source: CMS Home Health ZIP Code Service Area data. High agency counts in a ZIP indicate
a competitive market; low counts indicate underserved areas or market entry opportunities.
ZIP Codes in County
135
With HH service area coverage
Avg Agencies per ZIP
54.1
Across all covered ZIPs
Peak ZIP Competition
74
Most competitive ZIP
Most Competitive ZIPs
| ZIP Code | Agencies Serving |
|---|
| 85205 |
|
| 85308 |
|
| 85032 |
|
| 85283 |
|
| 85382 |
|
| 85226 |
|
| 85029 |
|
| 85204 |
|
| 85225 |
|
| 85207 |
|
| 85260 |
|
| 85254 |
|
Reading this section: A ZIP with many agencies serving it is a competitive
market where new entrants face established competition. A ZIP with few or no agencies
represents a potential service gap — either a market entry opportunity or an area
with low demand density.
Note that "agencies serving" counts any agency with this ZIP in their CMS-reported
service area — not necessarily agencies actively staffing patients in that ZIP.
Geographic Definition & Demographics: County boundaries from Census Bureau
ZCTA-to-county relationship file (2010 Census). Demographics from American Community
Survey (ACS) 2022 — 65+ population, median household income, poverty rate, and 5-year
projections joined via ZIP-to-county crosswalk (99.6% county match rate). Agencies
assigned to counties based on their CMS-reported ZIP code. Service area coverage uses CMS Home Health ZIP
Code data mapping each agency's declared service ZIPs to counties.
Quality Star Ratings: Assigned by CMS from OASIS-based clinical outcome
measures and Medicare claims. Half-star ratings (1.0–5.0 in 0.5 increments) reflect
CMS methodology. Agencies below episode volume thresholds are unrated.
Patient Survey Stars: CMS Home Health CAHPS (HHCAHPS) program.
Independently administered patient experience survey across professional care,
communication, medication/pain/safety discussions, and overall agency rating.
VBP Data: CMS Home Health Value-Based Purchasing program.
Total Performance Score and payment adjustment (±5% of Medicare revenue) from
CMS performance year data. Non-participant agencies are not subject to VBP
payment adjustments.
Cost Data: HCRIS Medicare cost reports (CMS-1728-20 form).
Cost-per-visit calculated from NMRC worksheet S300000. Values outside $50–$1,000
excluded as outliers. Not all agencies file HCRIS reports.
SeniorIndex Database: Aggregates CMS Provider Data Catalog,
HCRIS, and Census data across 12,251 home health agencies nationally.
County crosswalk: Census ZCTA-to-county relationship file.
County FIPS: 04013 (Maricopa County, AZ).