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

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

Paradigm Health Management Corporation (NPI 1144231002)

Field	Value
Entity Type	Organization
Organization	Paradigm Health Management Corporation
Address	2405 E Harrison Ave
City	Harlingen
State	TX
ZIP	78550
Taxonomy	Home Health Agency
NPI Enumerated	August 10, 2006

Payer Source	Total Paid
Medicaid	$16.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	266,450	$60	$16.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1,050	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	9,490	$0	$0
G0493	Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to…	320	$0	$0
Q5001	Hospice or home health care provided in patient's home/residence	1,380	$0	$0
3HB21	N/A	10	$0	$0
G0494	Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing…	4,160	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Paradigm Health Management Corporation — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	237	1,680	50,290	$60	$9.5M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	20	310	1,230	$30	$91.7K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	114	350	520	$50	$75.6K
G0493	Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to…	26	60	250	$1	$1
Q5001	Hospice or home health care provided in patient's home/residence	59	410	390	$0	$0
3HB21	N/A	4	10	10	$0	$0
G0494	Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing…	1	20	330	$0	$0

Nearby Providers

Other providers in the same ZIP code as Paradigm Health Management Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First Primary Home Care, Inc	TX	Home Health Agency	$0	$161.5M
Texas Visiting Nurse Service, Ltd.	TX	Home Health Agency	$0	$138.2M
Agua Cristalina Home Care, LLC	TX	Home Health Agency	$0	$108.1M
Apc Home Health Service, Inc.	TX	Home Health Agency	$0	$97.1M
Mizpah Residential Care. Inc.	TX	Home Health Agency	$0	$45.5M
Su Clinica Familiar	TX	Federally Qualified Health Center (FQHC)	$0	$37.6M
Vicki Roy Home Health Service, LP	TX	Home Health Agency	$0	$29.5M
Nuevo Destino Primary Home Care LLC	TX	Personal Care Attendant	$0	$26.6M
Santa Cruz Health Services, Inc	TX	Home Health Agency	$0	$23.8M
Vhs Harlingen Hospital Company LLC	TX	General Acute Care Hospital	$0	$23.6M

Paradigm Health Management Corporation — Billing Profile & Reimbursement Data

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Paradigm Health Management Corporation — 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