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

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

Pediatric Home Care, Inc. (NPI 1134178098)

Field	Value
Entity Type	Organization
Organization	Pediatric Home Care, Inc.
Address	1120 North Mullan Road
City	Spokane Valley
State	WA
ZIP	99206
Taxonomy	Home Health Agency
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicaid	$16.8M
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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	37,800	$430	$16.2M
T1002	Rn services, up to 15 minutes	1,810	$310	$555.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Pediatric Home Care, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	6	10	14,140	$490	$12.6M
T1002	Rn services, up to 15 minutes	28	60	1,140	$100	$493.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Soar Behavior Services	WA	Community/Behavioral Health Agency	$0	$19.2M
Sunshine Behavioral Health	WA	Community/Behavioral Health Agency	$0	$11.7M
Option Care Enterprises, Inc.	WA	Home Infusion Therapy Pharmacy	$0	$10.1M
Apex Anesthesia Services PC	WA	Dental Anesthesiology	$0	$6.1M
Youthful Horizons Physical Therapy P S	WA	Physical Therapist	$0	$4.7M
Spokane Surgery Center Ltd Ps	WA	Ambulatory Surgical Clinic/Center	$819.8K	$4K
Natasha Demattos	WA	Neurology Physician	$138.9K	$0
Thomasin Hammer	WA	Podiatrist	$112.8K	$0
Joshua Antles	WA	Physician Assistant	$94K	$0
Timothy Mahnke	WA	Physician Assistant	$72.1K	$0

Pediatric Home Care, Inc. — Billing Profile & Reimbursement Data

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Pediatric Home Care, 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

Nearby Providers

Frequently Asked Questions

References