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.

Aurora Home Care, Inc (NPI 1114168952)

Field	Value
Entity Type	Organization
Organization	Aurora Home Care, Inc
Address	518 Bustleton Pike
City	Feasterville Trevose
State	PA
ZIP	19053
Taxonomy	Home Health Agency
NPI Enumerated	March 6, 2009

Payer Source	Total Paid
Medicaid	$51.7M
Medicare	$0

Key Findings

AURORA HOME CARE, INC is effectively a single-payer Medicaid operator: there is no Medicare billing on file and the provider reports $51.7M in total Medicaid revenue, so all analyzed billing activity and competitive positioning should be viewed through the Medicaid business lens. The NPI was enumerated on 2009-03-06 (~17 years ago), indicating an established presence in the market.

Revenue is highly concentrated in a small set of personal care and aide service codes: the precomputed top three Medicaid codes (W1793, G0156, T1019) account for 88.0% of the provider's total Medicaid revenue. Those three codes individually generate $21.1M, $15.4M, and $9M respectively, which together form the dominant revenue base for the organization.

The provider’s highest single-code revenue line is W1793 (no description available) with 130.8K claims, $161 avg paid/claim and $21.1M revenue (40.8% of total Medicaid revenue). Despite its size, W1793 is described as a typical, unremarkable volume in the state cohort (ranks #17 of 369, 96th percentile), so this large revenue share appears consistent with common state-level utilization patterns for that unspecified code.

G0156 (Services of home health/hospice aide in home health or hospice settings, each 15 minutes) is a major service line for AURORA, with 69.7K claims, $221 avg paid/claim and $15.4M revenue (29.8% of total Medicaid revenue). The provider ranks #3 of 91 in-state (98th percentile) for G0156 and is characterized as notably above typical state volume, indicating a strong competitive position in home health/hospice aide services within Pennsylvania.

T1019 (Personal care services, per 15 minutes) and S9122 (Home health aide or certified nurse assistant, providing care in the home; per hour) further emphasize a labor-intensive, aide-centered operating model: T1019 shows 37.9K claims, $237 avg paid/claim and $9M revenue (17.4% of total) and is labeled typical, unremarkable in-state (rank #10 of 85, 89th percentile); S9122 contributes $5.6M from 29.4K claims at $191 avg paid/claim (10.9% of total) and is ranked notably above typical state volume (rank #8 of 80, 91th percentile). This mix points to high utilization of personal care and aide time rather than skill-heavy nursing services.

Skilled nursing revenue is a small portion of the mix: G0299 (Direct skilled nursing services of a registered nurse, each 15 minutes) accounts for $608.1K (1.2% of total Medicaid revenue) across 7.2K claims at $84 avg paid/claim and ranks #24 of 127 in-state (82th percentile, described as typical, unremarkable). The relatively low revenue and low average paid per claim for G0299 indicate limited emphasis on RN-delivered skilled services compared with aide/personal care.

From an operational and payer-management perspective, the provider’s model appears to be high-volume, low-to-moderate unit-rate personal care and aide delivery: multiple codes show five-figure to six-figure claim counts (e.g., W1793 130.8K, G0156 69.7K, T1019 37.9K) with modest average paid/claim figures. Given that the top three codes represent 88.0% of Medicaid revenue, contracting, staffing, and utilization management efforts should be prioritized around these specific service lines.

Competitive standing is mixed by code: AURORA is a clear high-volume performer for G0156 (rank #3 of 91, 98th percentile, notably above typical), shows elevated but typical-to-high volumes on W1793 and T1019 (W1793 rank #17 of 369, 96th percentile; T1019 rank #10 of 85, 89th percentile, both described as typical), and is notably above typical for S9122 (rank #8 of 80, 91th percentile). Overall, the provider should be viewed as a significant regional player in Medicaid-funded home aide and personal care services, while remaining a modest participant in skilled nursing delivery.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W1793	N/A	130,800	$160	$21.1M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	69,700	$220	$15.4M
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…	37,870	$240	$9M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	29,350	$190	$5.6M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	7,240	$80	$608.1K

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

Aurora Home Care, Inc — 2 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W1793	N/A	17	370	10,930	$170	$5.8M
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…	10	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	3	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	8	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	24	130	1,190	$100	$528.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Partnership For Community Supports	PA	Case Management Agency	$0	$34.6M
Sma Medical, Inc.	PA	Clinical Medical Laboratory	$13.4M	$20.4M
Better Home Care Agency, LLC	PA	Home Health Agency	$0	$20.7M
Loving Care Agency, Inc.	PA	Home Health Agency	$0	$18.4M
Fidelity Home Health LLC	PA	Home Health Agency	$0	$13.8M
Vitacare Home Health Inc	PA	Home Health Agency	$0	$12.9M
Partnership For Community Supports	PA	Early Intervention Provider Agency	$0	$9.9M
A-team Home Care, Inc.	PA	Home Health Agency	$0	$8.3M
Altruistic Home Care Agency, LLC	PA	In Home Supportive Care Agency	$0	$6.7M
Acsr, Inc.	PA	Adult Day Care Clinic/Center	$0	$6.2M

Aurora Home Care, Inc — Billing Profile & Reimbursement Data

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Aurora Home Care, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References