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

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

In Home Care (NPI 1205855640)

Field	Value
Entity Type	Organization
Organization	In Home Care
Address	201 Nottingham Ave
City	Wise
State	VA
ZIP	24293
Taxonomy	Personal Care Attendant
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$6.7M
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
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…	59,150	$100	$5.7M
T1005	Respite care services, up to 15 minutes	23,140	$40	$856.1K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1,410	$60	$77.7K
G2021	Health care practitioners rendering treatment in place (tip)	40	$1,040	$45.8K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	260	$90	$22.6K
S5109	Home care training to home care client, per session	10	$60	$900
S5116	Home care training, non-family; per session	40	$20	$800

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

In Home Care — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	135	760	17,620	$150	$5.5M
T1005	Respite care services, up to 15 minutes	78	570	4,400	$80	$831.8K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	75	210	790	$60	$199.5K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	78	160	260	$90	$128.3K
S5109	Home care training to home care client, per session	29	30	70	$170	$97.8K
S5116	Home care training, non-family; per session	79	100	200	$30	$84.5K
G2021	Health care practitioners rendering treatment in place (tip)	140	290	40	$790	$56.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifecare Ambulance Service, Inc.	VA	Land Ambulance	$597.4K	$1.9M
Autumn Starnes	VA	Dermatology Physician	$196.3K	$212.5K

In Home Care — Billing Profile & Reimbursement Data

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In 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