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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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 4 Healthcare Inc (NPI 1023410792)

Field	Value
Entity Type	Organization
Organization	Advanced 4 Healthcare Inc
Address	8206 Leesburg Pike
City	Vienna
State	VA
ZIP	22182
Taxonomy	Home Health Agency
NPI Enumerated	September 24, 2014

Payer Source	Total Paid
Medicaid	$33.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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…	133,510	$210	$28.2M
T1005	Respite care services, up to 15 minutes	49,470	$100	$4.9M
G2021	Health care practitioners rendering treatment in place (tip)	110	$1,230	$136.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Advanced 4 Healthcare Inc — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

3 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…	38	760	17,620	$150	$5.5M
T1005	Respite care services, up to 15 minutes	15	570	4,400	$80	$831.8K
G2021	Health care practitioners rendering treatment in place (tip)	42	290	40	$790	$56.7K

Nearby Providers

Other providers in the same ZIP code as Advanced 4 Healthcare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mps Healthcare Inc	VA	Home Health Agency	$0	$81.3M
Ata&ana LLC	VA	Personal Care Attendant	$0	$50.5M
Careplus Home Health Services	VA	Home Health Agency	$0	$26.8M
Home Link Care, LLC	VA	Home Health Agency	$0	$24.9M
Passion Home Health Solutions LLC	VA	Home Health Agency	$0	$15.4M
Pediatric Therapy Studio	VA	Behavior Analyst	$0	$7.7M
Dal Chun	VA	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Heidi Crayton	VA	Neurology Physician	$2.4M	$0
Jung Woo	VA	Retina Specialist (Ophthalmology) Physician	$1.8M	$2.1K
Mahnaz Momeni	VA	Rheumatology Physician	$753.9K	$0

Advanced 4 Healthcare Inc — Billing Profile & Reimbursement Data

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Advanced 4 Healthcare Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References