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

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

Southcoast Visiting Nurse Association. Inc (NPI 1104937697)

Field	Value
Entity Type	Organization
Organization	Southcoast Visiting Nurse Association. Inc
Address	200 Mill Road, Suite 120
City	Fairhaven
State	MA
ZIP	02719
Taxonomy	Home Health Agency
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	77,220	$80	$6.3M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	24,670	$60	$1.5M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	9,730	$60	$535K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	7,240	$60	$455.9K
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)	21,190	$20	$423.7K
S9131	Physical therapy; in the home, per diem	14,380	$20	$330.6K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	9,330	$20	$158.5K
S9129	Occupational therapy, in the home, per diem	4,760	$20	$95.1K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	1,690	$30	$54K
Q5001	Hospice or home health care provided in patient's home/residence	7,020	$10	$42.1K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Southcoast Visiting Nurse Association. Inc — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	183	190	14,240	$110	$3.7M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	31	310	8,710	$40	$1.6M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	55	170	3,500	$40	$757.2K
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)	10	50	7,160	$20	$397.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	6	90	2,250	$40	$315K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	9	50	1,510	$40	$179.2K
S9131	Physical therapy; in the home, per diem	3	30	3,360	$20	$123.9K
S9129	Occupational therapy, in the home, per diem	2	20	1,110	$20	$70.8K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	4	20	2,240	$10	$55.7K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	5	10	280	$50	$41.7K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southcoast Visiting Nurse Association. Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcoast Visiting Nurse Association, Inc	MA	Community Based Hospice Care Agency	$0	$5.9M

Nearby Providers

Other providers in the same ZIP code as Southcoast Visiting Nurse Association. Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcoast Physicians Group, Inc.	MA	Family Medicine Physician	$0	$49.8M
Behavioral Connections	MA	Community/Behavioral Health Agency	$0	$11M
Active Ma, Inc.	MA	Adult Day Care Clinic/Center	$0	$6.1M
Town Of Fairhaven	MA	Ambulance	$514K	$883.6K
Michael Crowe	MA	Podiatrist	$116.3K	$440.1K
Tina Parker-howayeck	MA	Optometrist	$28.5K	$467.2K
Walgreen Co	MA	Pharmacy	$240.3K	$0
Patrick Gagnon	MA	Radiation Oncology Physician	$217.9K	$0
Michael Barretti	MA	Critical Care Medicine (Internal Medicine) Physician	$121.5K	$0
Himanshu Verma	MA	Gastroenterology Physician	$108K	$0

Southcoast Visiting Nurse Association. Inc — Billing Profile & Reimbursement Data

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Southcoast Visiting Nurse Association. 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

Related Providers

Nearby Providers

Frequently Asked Questions

References