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

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

Wellness Residential Services (NPI 1104256221)

Field	Value
Entity Type	Organization
Organization	Wellness Residential Services
Address	260 Northland Blvd Ste 216
City	Cincinnati
State	OH
ZIP	45246
Taxonomy	Home Health Clinical Nurse Specialist
NPI Enumerated	November 27, 2013

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 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…	62,750	$110	$6.7M
T1001	Nursing assessment / evaluation	120	$40	$4.4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Wellness Residential Services — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

2 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…	165	830	20,350	$70	$3.1M
T1001	Nursing assessment / evaluation	367	500	490	$30	$45.4K

Nearby Providers

Other providers in the same ZIP code as Wellness Residential Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Necco, LLC	OH	Case Management Agency	$0	$20.6M
Medical Service Company	OH	Oxygen Equipment & Supplies (DME)	$0	$13.8M
Premier Care Of Ohio LLC	OH	Methadone Clinic	$225.8K	$13.1M
Advantage Respiratory LLC	OH	Oxygen Equipment & Supplies (DME)	$0	$11.4M
Derek Hindman	OH	Podiatrist	$171.3K	$54.7K
John Seyerle	OH	Allergy & Immunology Physician	$129.7K	$0
Theresa Melody	OH	Foot & Ankle Surgery Podiatrist	$117.7K	$0
Jeffrey Raub	OH	Allergy & Immunology Physician	$115.4K	$0
Ashish Mathur	OH	Allergy & Immunology Physician	$102.1K	$0
Barry Webb	OH	Family Medicine Physician	$101.7K	$0

Wellness Residential Services — Billing Profile & Reimbursement Data

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Wellness Residential Services — Billing Profile & Reimbursement Data

Sign up for Wellness Residential Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References