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.

Lyon Home Health Care LLC (NPI 1215421854)

Field	Value
Entity Type	Organization
Organization	Lyon Home Health Care LLC
Address	4308 Ridgewood Center Dr
City	Woodbridge
State	VA
ZIP	22192
Taxonomy	Home Health Aide
NPI Enumerated	June 18, 2018

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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…	77,790	$110	$8.7M
T1005	Respite care services, up to 15 minutes	9,910	$60	$624K
G2021	Health care practitioners rendering treatment in place (tip)	80	$750	$55.9K

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

Lyon Home Health Care LLC — 0 of 3 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

3 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…	101	760	17,620	$150	$5.5M
T1005	Respite care services, up to 15 minutes	170	570	4,400	$80	$831.8K
G2021	Health care practitioners rendering treatment in place (tip)	75	290	40	$790	$56.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scarlet Haven Residential Services	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$47.8M
Savida Health, PC	VA	Addiction Medicine (Internal Medicine) Physician	$0	$46.6M
Maxim Healthcare Services, Inc.	VA	Home Health Agency	$0	$42.2M
D&t Home Care Business LLC	VA	Home Health Aide	$0	$20.7M
Isada Healthcare Services, Inc.	VA	Continence Care Registered Nurse	$0	$12.8M
Gina C Pham Dds PC	VA	Pediatric Dentistry	$0	$12.3M
Greater Prince William Area Community Health Center Inc	VA	Federally Qualified Health Center (FQHC)	$0	$11.6M
Serenity Home Healthcare, LLC	VA	Home Health Agency	$0	$10.9M
Herald Healthcare LLC	VA	Home Health Agency	$0	$9.4M
Arm Baby Eldery Home Health LLC	VA	Home Health Agency	$0	$7.2M

Lyon Home Health Care LLC — Billing Profile & Reimbursement Data

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Lyon Home Health Care LLC — 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