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

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

Family Care Visiting Nurse & Home Health Care Agency, LLC (NPI 1215963822)

Field	Value
Entity Type	Organization
Organization	Family Care Visiting Nurse & Home Health Care Agency, LLC
Address	999 Oronoque Ln
City	Stratford
State	CT
ZIP	06614
Taxonomy	Home Health Agency
NPI Enumerated	June 24, 2006

Payer Source	Total Paid
Medicaid	$119M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and the lifetime Medicaid revenue on file is $119M, indicating the organization’s scale is concentrated entirely in Medicaid-funded home health services. The NPI was enumerated on 2006-06-24 (~20 years ago), so the agency is long-established and has built its Medicaid business over an extended tenure.

Revenue is highly concentrated in a very small set of service codes: the precomputed top 3 Medicaid codes account for 84.6% of this provider’s total Medicaid revenue, signaling a narrow set of revenue drivers rather than a diversified service mix. Within that concentration, T1004 alone represents 41.9% of Medicaid revenue, making it the single largest revenue source reported.

The dominant code is T1004 (Services of a qualified nursing aide, up to 15 minutes): 830.7K claims, $60 avg paid/claim, $49.8M revenue (41.9% of total). The provider ranks #1 of 63 in-state for T1004 at the 100th percentile and is described as an "extreme outlier," indicating the agency is an outsized statewide supplier of aide-level, short-interval home care relative to peers.

The second major revenue driver is S9124 (Nursing care, in the home; by licensed practical nurse, per hour): 404.3K claims, $77 avg paid/claim, $31.1M revenue (26.2% of total). This code also ranks #1 in the state among 65 providers (100th percentile; "extreme outlier"), which together with T1004 implies a high-volume, labor-intensive model focused on hourly and aide nursing services in the community.

S9123 (Nursing care, in the home; by registered nurse, per hour) is the third top code with 259.5K claims, $76 avg paid/claim, $19.7M revenue (16.6% of total) and ranks #3 of 79 providers in-state (97th percentile; "extreme outlier"). The presence of both high LPN and RN hourly volumes plus the RN hourly rank near the top of state peers suggests the agency operates a broad mix of vocational and skilled nursing visits rather than only basic personal care.

Skilled-nursing oversight and medication administration also appear as meaningful components: G0162 (skilled RN management/evaluation) generated $4.1M (77.9K claims) and ranks #2 of 63 (98th percentile; "notably above typical"), while T1502 (med administration, per visit) produced $12.7M with 245.1K claims (10.7% of total) and ranks #10 of 37 (75th percentile; typical). These codes indicate the agency combines high-volume direct care with elements of clinical management and frequent medication administration.

Several less-dominant codes still show unusually high standing versus peers: T1001 (nursing assessment/evaluation) has 23.3K claims, $59 avg paid/claim, $1.4M revenue (1.2% of total) and ranks #2 of 58 (98th percentile; "extreme outlier"), suggesting the provider conducts substantial numbers of formal assessments relative to other in-state agencies. Conversely, codes with very low counts such as T1002 and T1016 are negligible contributors to revenue and rank modestly or low within their smaller peer sets, indicating focused service offerings rather than broad ancillary lines.

From a competitive and business risk perspective, the provider’s dominance on a few high-volume home-care codes makes it a major statewide player for those services (notably T1004 and S9124 at the 100th percentile). However, the high concentration in a handful of codes also creates exposure to rate changes, utilization-review policies, or program redesigns that affect those specific service categories.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1004	Services of a qualified nursing aide, up to 15 minutes	830,720	$60	$49.8M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	404,290	$80	$31.1M
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)	259,460	$80	$19.7M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	245,050	$50	$12.7M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	77,900	$50	$4.1M
T1001	Nursing assessment / evaluation	23,270	$60	$1.4M
T1002	Rn services, up to 15 minutes	550	$40	$20.9K
T1016	Case management, each 15 minutes	10	$70	$910

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Family Care Visiting Nurse & Home Health Care Agency, LLC — 5 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

8 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	10	40	98,180	$50	$17.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1	70	5,660	$150	$3.6M
T1004	Services of a qualified nursing aide, up to 15 minutes	1	60	26,810	$40	$2.8M
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)	3	80	14,190	$80	$2.7M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	2	60	4,250	$50	$511.6K
T1002	Rn services, up to 15 minutes	18	30	760	$40	$152.9K
T1001	Nursing assessment / evaluation	2	60	1,000	$60	$140.5K
T1016	Case management, each 15 minutes	45	50	220	$20	$50.8K

Nearby Providers

Other providers in the same ZIP code as Family Care Visiting Nurse & Home Health Care Agency, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centerwell Certified Healthcare Corp.	CT	Home Health Agency	$0	$48M
David Chess	CT	Internal Medicine Physician	$41.7M	$150.5K
Equinox Home Care, LLC	CT	Home Health Agency	$0	$20.5M
Dr. Dental Of Connecticut, PC	CT	General Practice Dentistry	$0	$13.1M
Premier Oral Surgery And Implantology Center LLC	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$6.7M
Sunset Shores Of Milford, Inc.	CT	Adult Day Care Clinic/Center	$0	$4.6M
Mdcarenow LLC	CT	Internal Medicine Physician	$0	$4.5M
Southern Connecticut Vascular Center, LLC	CT	Vascular Surgery Physician	$0	$4.3M
Holistic Psychiatric Services LLC	CT	Psychiatric/Mental Health Nurse Practitioner	$0	$2.3M
Pathwell Ct, Inc.	CT	Home Health Agency	$0	$1.6M

Family Care Visiting Nurse & Home Health Care Agency, LLC — Billing Profile & Reimbursement Data

Sign up for Family Care Visiting Nurse & Home Health Care Agency, LLC — Billing Profile & Reimbursement Data policy alerts

Family Care Visiting Nurse & Home Health Care Agency, LLC — Billing Profile & Reimbursement Data

Sign up for Family Care Visiting Nurse & Home Health Care Agency, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References