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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPjw Health Services, LLC
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    Pjw Health Services, LLC — Billing Profile & Reimbursement Data

    NPI 1235574187 · San Antonio, TX · Home Health Agency

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    Pjw Health Services, LLC is a home health agency provider located in San Antonio, Texas. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPjw Health Services, LLC
    Address6100 Bandera Rd Ste 403
    CitySan Antonio
    StateTX
    ZIP78238
    TaxonomyHome Health Agency
    NPI EnumeratedMay 6, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$12.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…38,230$110$4.1M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes44,500$90$3.9M
    S9124Nursing care, in the home; by licensed practical nurse, per hour8,120$270$2.2M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes12,250$90$1.1M
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…5,860$80$486.6K
    97163The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…2,660$90$244.7K
    97167The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment…1,640$90$150.4K
    97164The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…1,600$80$126.6K
    97168The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…740$80$58.5K
    S9131Physical therapy; in the home, per diem460$70$32.3K

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Texas median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour14602,200$330$2.5M
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…3991,3501,860$80$872.4K
    S9123Nursing 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)1930250$230$280.3K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…161,3201,070$60$211.1K
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes13101,230$30$91.7K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes6350520$50$75.6K
    S9152Speech therapy, re-evaluation198270120$110$62.5K
    92523A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.169360100$140$62K
    S9131Physical therapy; in the home, per diem710420$70$45.6K
    97168The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…2618090$90$29.4K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caprock Home Health Services, Inc.TXHome Health Agency$0$40M
    Sa Helping Hands LLCTXHome Health Agency$0$39.7M
    Caprock Home Health Services, Inc.TXHome Health Agency$0$20.8M
    Salute Medical Transportation ,LLCTXAmbulance$0$18.7M
    Northside Independent School DistrictTXLocal Education Agency (LEA)$0$16.8M
    Advanced Imaging Services, IncTXPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$1.2M$906.2K
    Trident Medicap LLCTXClinical Medical Laboratory$94.6K$32.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Texas Providers
    2 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Pjw Health Services, LLC — 6 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas