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.

Horizon Home Care (NPI 1184043671)

Field	Value
Entity Type	Organization
Organization	Horizon Home Care
Address	2314 Main St
City	Tewksbury
State	MA
ZIP	01876
Taxonomy	Home Health Agency
NPI Enumerated	April 10, 2014

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

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
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	104,960	$60	$6M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	36,390	$60	$2M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	21,820	$60	$1.3M
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)	11,150	$20	$167.3K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	14,450	$10	$144.4K

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

Horizon Home Care — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	35	130	34,780	$60	$7.4M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	104	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	27	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)	20	50	7,160	$20	$397.1K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	3	20	2,240	$10	$55.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Community/Behavioral Health Agency	$0	$212.8M
Altranais Home Care, LLC	MA	Respite Care	$0	$48M
Integrity Home Care Solutions, LLC	MA	Home Health Agency	$0	$26.2M
Town Of Tewksbury	MA	Ambulance	$435.2K	$1.5M
Michael Maliszewski	MA	Clinical Psychologist	$173.4K	$176.9K
Michael Bove	MA	Physical Therapist	$95K	$0
Joel Leclerc	MA	Physical Therapist	$84.3K	$0
David Thomas	MA	Physical Therapist	$80.1K	$0
Rebecca Wallach	MA	Family Medicine Physician	$70K	$0
Denise Farnsworth	MA	Physical Therapist	$34K	$0

Horizon Home Care — Billing Profile & Reimbursement Data

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Horizon Home Care — 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