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NPI 1043279011 · Mount Laurel, NJ · Home Health Agency
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Preferred Home Health Care & Nursing Services, Inc. is a home health agency provider located in Mount Laurel, New Jersey. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Preferred Home Health Care & Nursing Services, Inc. |
| Address | 250 Century Pkwy Ste 325 |
| City | Mount Laurel |
| State | NJ |
| ZIP | 08054 |
| Taxonomy | Home Health Agency |
| NPI Enumerated | March 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $224.6M |
| Medicare | $0 |
This provider is effectively single‑payer: there is no Medicare billing on file while reported Medicaid revenue totals $224.6M, indicating Medicaid is the dominant and operationally critical payer for this entity. Analysts should treat Medicaid policy and reimbursement changes as the primary financial levers for this organization.
Revenue is highly concentrated in just a few nursing codes: T1003 ($112.4M, 50.0%), S9124 ($48.5M, 21.6%), and T1002 ($42M, 18.7%) — the precomputed top‑3 codes account for 90.3% of the provider’s total Medicaid revenue. This concentration creates both a competitive specialization and exposure to reimbursement or utilization shifts affecting those specific codes.
The code mix (T1003 — Lpn/lvn services up to 15 minutes; T1002 — Rn services up to 15 minutes; S9124 — nursing care in the home by LPN per hour) signals a high‑volume home nursing operation that focuses on short‑interval skilled nursing visits and hourly LPN home care. Operationally, this implies a staffing model built around a large pool of LPNs/LVNs and RNs and workflows optimized for frequent, brief visits rather than long episodic care.
Competitive standing in New Jersey is strong for core nursing services: T1003 ranks #2 of 47 providers in‑state (98th percentile; described as an extreme outlier) indicating the provider is a major statewide supplier of brief LPN/LVN visits. Similarly, S9124 and T1002 rank #3 in their state cohorts (S9124: 93th percentile; T1002: 95th percentile), both labeled as notably above typical state volume, which reinforces their dominant role in home nursing.
Despite nursing dominance, the provider also shows a clear niche in durable medical equipment distribution for lactation: E0603 (breast pump, electric) generated $669.5K (0.3% of Medicaid revenue) and ranks #1 of 10 providers in‑state (100th percentile; notably above typical state volume). While material for a specific program, this line remains a very small portion of total revenue compared with the nursing codes.
Other service lines are modest or typical relative to peers: T1019 (personal care services) produced $6M (2.7% of revenue) and ranks #103 of 276 in‑state (63th percentile), a typical volume position, and T1000 (private duty licensed nursing) accounts for $487.1K (0.2%) and ranks #8 of 9 (13th percentile). These figures indicate limited scale outside the primary skilled‑nursing offerings and suggest the business is not broadly diversified across non‑skilled personal care or private duty segments.
The extremely high volume of short‑interval nursing claims implies significant administrative and scheduling complexity: frequent 15‑minute units (T1003/T1002) and large hourly LPN activity (S9124) require robust clinical staffing, visit verification, and billing systems to support continuous throughput. From a payer perspective, utilization management or changes to unit definitions for these codes would likely have outsized financial impact on the provider.
The provider has been enumerated since 2006-03-20 (~20 years), indicating long tenure and stability in the market. Combined with the large Medicaid footprint and top percentile rankings in core nursing codes, this tenure supports the view of an established, specialty home‑health nursing operator within New Jersey.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1003 | Lpn/lvn services, up to 15 minutes | 261,950 | $430 | $112.4M |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 112,890 | $430 | $48.5M |
| T1002 | Rn services, up to 15 minutes | 90,220 | $470 | $42M |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 32,350 | $450 | $14.5M |
| 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… | 71,980 | $80 | $6M |
| E0603 | Breast pump, electric (ac and/or dc), any type | 4,460 | $150 | $669.5K |
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | 1,320 | $370 | $487.1K |
| K1005 | Disposable collection and storage bag for breast milk, any size, any type, each | 1,090 | $30 | $35.8K |
| A4287 | Disposable collection and storage bag for breast milk, any size, any type, each | 380 | $60 | $22.5K |
| A4285 | Polycarbonate bottle for use with breast pump, replacement | 90 | $10 | $700 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
13 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… | 103 | 280 | 31,400 | $90 | $15.4M |
| T1003 | Lpn/lvn services, up to 15 minutes | 2 | 50 | 19,020 | $410 | $15.4M |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 3 | 30 | 3,480 | $430 | $9.1M |
| T1002 | Rn services, up to 15 minutes | 3 | 40 | 9,480 | $460 | $8.5M |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 4 | 50 | 3,100 | $340 | $2.7M |
| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes | 8 | 10 | 4,080 | $470 | $1.9M |
| E0603 | Breast pump, electric (ac and/or dc), any type | 1 | 10 | 850 | $120 | $171.4K |
| K1005 | Disposable collection and storage bag for breast milk, any size, any type, each | 1 | 10 | 1,090 | $30 | $36.2K |
| A4287 | Disposable collection and storage bag for breast milk, any size, any type, each | 1 | 10 | 380 | $60 | $22.4K |
| A4285 | Polycarbonate bottle for use with breast pump, replacement | 1 | 10 | 70 | $10 | $370 |
Showing 1–10 of 13
Other providers in the same ZIP code as Preferred Home Health Care & Nursing Services, Inc., ranked by combined Medicare and Medicaid revenue.
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