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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Advantage Home Care, Inc. (NPI 1205887452)

Field	Value
Entity Type	Organization
Organization	Advantage Home Care, Inc.
Address	8725 Alameda Park Dr Ne
City	Albuquerque
State	NM
ZIP	87113
Taxonomy	Primary Care Nurse Practitioner
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	42,530	$240	$10M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	13,590	$90	$1.2M
Q5007	Hospice care provided in long term care facility	5,280	$180	$923.5K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	7,720	$90	$687.2K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	4,440	$90	$382.1K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	3,040	$90	$279.8K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1,150	$100	$115.6K
G0158	Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes	1,090	$70	$77.6K
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)	150	$90	$13.5K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	90	$90	$8.5K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Advantage Home Care, Inc. — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	1	10	2,640	$320	$5M
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	43	50	2,930	$150	$1.4M
Q5007	Hospice care provided in long term care facility	1	10	5,280	$170	$921.6K
G0158	Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes	11	20	5,030	$110	$800.1K
Q5001	Hospice or home health care provided in patient's home/residence	10	10	300	$180	$759.7K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	12	60	2,860	$120	$642K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	16	50	1,370	$130	$633K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	11	20	2,160	$100	$623.5K
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)	13	20	450	$260	$400.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	4	40	1,400	$90	$345.7K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Advantage Home Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Biju Cherian	NM	Nephrology Physician	$114.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Mexico Consumer Direct Personal Care, LLC	NM	Home Health Agency	$0	$149.8M
Ambercare Hospice, Inc.	NM	Community Based Hospice Care Agency	$0	$28.7M
Home Modification Solutions, LLC	NM	In Home Supportive Care Agency	$0	$9.9M
A Childs Voice	NM	Community/Behavioral Health Agency	$0	$5.3M
Allergy Partners, PLLC	NM	Allergy & Immunology Physician	$0	$5M
Christopher Roybal	NM	Ophthalmology Physician	$3.8M	$0
Armada Skilled Homecare Of New Mexico LLC	NM	Home Health Agency	$0	$3.2M
Anne K. Hempstead D.d.s., P.C.	NM	Pediatric Dentistry	$0	$3M
Autism Specialists LLC	NM	Speech-Language Pathologist	$0	$2.1M
Dr Puneet Rastogi & Associates LLC	NM	Optometrist	$0	$2M

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

Sign up for Advantage Home Care, Inc. — Billing Profile & Reimbursement Data policy alerts

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

Sign up for Advantage Home Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References