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

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

Nursing Home Care Management Inc., (NPI 1063426831)

Field	Value
Entity Type	Organization
Organization	Nursing Home Care Management Inc.,
Address	10890 Bustleton Ave
City	Philadelphia
State	PA
ZIP	19116
Taxonomy	Home Health Agency
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicaid	$74.2M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and its entire documented federal billing footprint is on Medicaid, with total Medicaid revenue of $74.2M. In practical terms the organization functions as an effectively single-payer (Medicaid-focused) home health provider rather than a dual Medicare/Medicaid operator, which shapes contracting and utilization risk toward state program rules and rates.

Revenue concentration is very high: the precomputed top three Medicaid codes account for 87.0% of the provider’s total Medicaid revenue. Those top drivers are W1793 ($42.9M, 57.9%), G0156 ($11.9M, 16.1%), and T1019 ($9.6M, 13.0%), indicating a small set of services disproportionately determines financial performance.

W1793 is the single largest revenue line at $42.9M (57.9% of Medicaid revenue) and ranks #6 of 369 in-state (99th percentile; notably above typical state volume), yet no description is listed for this code. Its dominance in the portfolio suggests reliance on a state-specific or nonstandard billing category; analysts should treat W1793 as the primary operational lever when modeling revenue sensitivity or payer negotiations.

G0156 ($11.9M, 16.1%) and T1019 ($9.6M, 13.0%) together make up a meaningful share of revenue and reflect core personal-care/home-aide activity. G0156 (services of home health/hospice aide, each 15 minutes) ranks #5 of 91 in-state (96th percentile; notably above typical state volume), while T1019 (personal care services, per 15 minutes) ranks #4 of 85 (96th percentile) and is characterized as typical, showing the business mixes high-volume aide visits with standard personal-care billing patterns.

Hourly and skilled-nursing codes show a mixed profile: S9122 (home health aide or CNA, per hour) contributes $7.1M (9.6%) and ranks #2 of 80 in-state (99th percentile; notably above typical state volume), indicating strong hourly aide capacity. By contrast, S9123 (nursing care by RN, per hour) is much smaller at $1.4M (1.9%) and ranks #45 of 73 (39th percentile; typical), implying the provider emphasizes aide-level services over higher-intensity registered nursing visits.

Statewide competitive standing is strong in aide/personal-care lines: multiple codes (W1793, S9122, G0156, T1019) sit in the 96th–99th percentiles or top decile of in-state providers, which positions this entity as a major in Pennsylvania for those service categories. That concentration of high-percentile ranks suggests market share leadership for non-skilled home care rather than breadth across a wide set of skilled home-health services.

The provider is long-tenured on federal registries, with an NPI enumerated on 2006-07-28 (~20 years ago), indicating operational longevity. This tenure, combined with concentrated Medicaid volume, is consistent with an established Medicaid-focused home-care operator likely embedded in state program networks and utilization patterns.

Smaller revenue lines (for example G0299 $646.5K, S5185 $352.2K, S9131 $81.4K, and W2025 $61.1K) represent ancillary or low-volume services and are generally characterized as typical or unremarkable volume in-state. These secondary codes suggest the provider offers some limited skilled nursing, medication-reminder, and therapy-related services, but they do not materially offset the dominant aide/personal-care revenue profile.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W1793	N/A	296,200	$150	$42.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	59,860	$200	$11.9M
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…	52,940	$180	$9.6M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	46,700	$150	$7.1M
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)	3,170	$450	$1.4M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	9,370	$70	$646.5K
S5185	Medication reminder service, non-face-to-face; per month	7,340	$50	$352.2K
S9131	Physical therapy; in the home, per diem	1,250	$70	$81.4K
W2025	N/A	330	$190	$61K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Nursing Home Care Management Inc., — 5 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W1793	N/A	6	370	10,930	$170	$5.8M
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)	45	70	4,620	$530	$4M
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	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	5	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	2	80	5,780	$220	$2.2M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	17	130	1,190	$100	$528.9K
S9131	Physical therapy; in the home, per diem	8	20	910	$120	$418.1K
S5185	Medication reminder service, non-face-to-face; per month	2	10	5,020	$30	$187.6K
W2025	N/A	1	10	190	$170	$31.9K

Nearby Providers

Other providers in the same ZIP code as Nursing Home Care Management Inc.,, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Self Help Movement, Inc.	PA	Substance Abuse Rehabilitation Facility	$0	$19.3M
Guardian Home Care Inc	PA	In Home Supportive Care Agency	$0	$12.7M
American Patriot Ambulance Inc	PA	Land Ambulance	$1.1M	$889.6K
Georgey Easow	PA	Internal Medicine Physician	$539.5K	$664.7K
Meri Kryss	PA	Internal Medicine Physician	$224.1K	$72.9K
Oleg Volchonok	PA	Gastroenterology Physician	$254K	$10.6K
Gelena Banin	PA	Optometrist	$233.8K	$0
Joseph Wang	PA	Physical Therapist	$210.8K	$0
Leonard Stavropolskiy	PA	Physical Therapist	$207.2K	$0
Muhammad Sharif	PA	Primary Podiatric Medicine Podiatrist	$193.9K	$0

Nursing Home Care Management Inc., — Billing Profile & Reimbursement Data

Sign up for Nursing Home Care Management Inc., — Billing Profile & Reimbursement Data policy alerts

Nursing Home Care Management Inc., — Billing Profile & Reimbursement Data

Sign up for Nursing Home Care Management Inc., — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References