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

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

Apex Human Services, LLC (NPI 1215473558)

Field	Value
Entity Type	Organization
Organization	Apex Human Services, LLC
Address	925 Providence Rd Ste 17
City	Secane
State	PA
ZIP	19018
Taxonomy	Home Health Agency
NPI Enumerated	January 10, 2017

Payer Source	Total Paid
Medicaid	$59.7M
Medicare	$0

Key Findings

APEX HUMAN SERVICES, LLC is registered as a Home Health Agency in SECANE, PA and has been enumerated since 2017-01-10 (~9 years ago). Its reported lifetime revenue shows no Medicare billing on file and $59.7M in Medicaid revenue, indicating the organization operates effectively as a Medicaid-focused, single-payer (Medicaid) provider at scale.

Revenue is highly concentrated in a very small set of Medicaid codes: the top three Medicaid codes (S9123, T1002, G0156) account for 99.4% of the provider's total Medicaid revenue. S9123 alone represents $40M (66.9% of Medicaid revenue) and T1002 represents $17.5M (29.3%), leaving G0156 at $1.9M (3.2%), so business performance is tightly tied to outcomes for these specific service lines.

The code mix points to an operation dominated by skilled nursing time-based services and limited use of non-skilled aide care. S9123 (nursing care in the home by RN, per hour) and T1002 (RN services, up to 15 minutes) together drive more than 96% of reported Medicaid revenue, while G0156 (home health/hospice aide, each 15 minutes) accounts for a much smaller share, implying the agency’s service model centers on RN-provided home care rather than a broad portfolio of personal care or aide-led visits.

T1002 is an obvious statewide outlier for this provider: 26.6K claims, $656 avg paid/claim, $17.5M revenue (29.3%), and the provider ranks #1 of 90 in-state (100th percentile; extreme outlier, far above typical state volume for this code). This ranking indicates the agency is uniquely concentrated and dominant in short-interval RN service billing relative to peers, which makes T1002 a key competitive differentiator in its in-state footprint.

S9123 is the single largest revenue driver by dollar value at $40M (66.9% of Medicaid revenue) with 11.8K claims and $3390 avg paid/claim, but the provider’s state rank is #17 of 73 (78th percentile; typical, unremarkable volume for this code). In other words, while S9123 generates the majority of dollars, the provider is above-average but not the statewide leader on this per-hour RN nursing code.

G0156 and the remaining listed codes represent only a small portion of revenue and modest market positions: G0156 contributed $1.9M (3.2%) with 7.8K claims and a midpack rank (#45 of 91, 51th percentile), while T1019 ($214.4K, 0.4%, rank #77 of 85, 10th percentile), S9122 ($129K, 0.2%, rank #70 of 80, 13th percentile) and G0299 ($13.7K, 0.0%, rank #102 of 127, 20th percentile) are marginal in scale. These smaller lines show presence in personal care and aide services but not at volumes that materially move the provider’s revenue mix.

From a competitive and risk/operations perspective, the provider’s Medicaid-only revenue profile combined with extreme concentration in T1002 and heavy reliance on S9123 create both leverage and vulnerability: it appears to be a major statewide supplier of 15-minute RN services while maintaining above-average per-hour RN billing, but that same concentration makes the business sensitive to changes in Medicaid reimbursement policy or utilization trends for time-based RN services. Given the $59.7M Medicaid footprint and near-total dependence on a narrow set of codes, payer contracting and oversight activity focused on these codes would disproportionately affect the provider.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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)	11,790	$3,390	$40M
T1002	Rn services, up to 15 minutes	26,640	$660	$17.5M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	7,820	$250	$1.9M
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…	960	$220	$214.4K
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	530	$240	$129K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	200	$70	$13.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Apex Human Services, LLC — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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)	17	70	4,620	$530	$4M
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	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	45	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	70	80	5,780	$220	$2.2M
T1002	Rn services, up to 15 minutes	1	90	1,850	$400	$1.5M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	102	130	1,190	$100	$528.9K

Nearby Providers

Other providers in the same ZIP code as Apex Human Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dipty Mangla	PA	Pain Medicine (Anesthesiology) Physician	$132.3K	$0
Rashmi Balasubramanya	PA	Diagnostic Radiology Physician	$93.9K	$0
Niloofar Hakakian	PA	Diagnostic Radiology Physician	$63.6K	$0
Angela D'alonzo	PA	Optometrist	$19.3K	$0

Apex Human Services, LLC — Billing Profile & Reimbursement Data

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Apex Human Services, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References