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

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

Guardian Healthcare, LLC (NPI 1265683569)

Field	Value
Entity Type	Organization
Organization	Guardian Healthcare, LLC
Address	891 Centre St
City	Jamaica Plain
State	MA
ZIP	02130
Taxonomy	Home Health Agency
NPI Enumerated	October 6, 2008

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	130,010	$40	$5.5M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	67,760	$60	$4.2M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	64,010	$20	$1.3M
S5130	Homemaker service, nos; per 15 minutes	20,640	$50	$1M
S5131	Homemaker service, nos; per diem	12,700	$60	$800.3K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	13,980	$20	$321.5K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	5,290	$30	$169.3K
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)	7,160	$20	$121.8K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	3,100	$20	$49.5K
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…	90	$140	$13K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Guardian Healthcare, LLC — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

12 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…	134	140	7,990	$90	$61.6M
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	50	130	34,780	$60	$7.4M
S5130	Homemaker service, nos; per 15 minutes	49	160	7,330	$90	$3.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	99	190	14,240	$110	$3.7M
S5131	Homemaker service, nos; per diem	22	70	2,770	$120	$1.8M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	17	310	8,710	$40	$1.6M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	13	170	3,500	$40	$757.2K
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)	25	50	7,160	$20	$397.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	31	90	2,250	$40	$315K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	10	20	2,240	$10	$55.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Guardian Healthcare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Boston Senior Services, Inc.	MA	Point of Service	$0	$65.6M
Brigham And Women's Faulkner Hospital, Inc	MA	General Acute Care Hospital	$0	$45.8M
Family Caregivers	MA	Foster Care Agency	$0	$41M
Victory Programs, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$29.1M
Pinestreet Inn	MA	Addiction (Substance Use Disorder) Counselor	$0	$17.2M
Middlesex Human Service Agency, Inc.	MA	Substance Abuse Rehabilitation Facility	$0	$15.9M
Arbour Inc	MA	Psychiatric Hospital	$0	$12.3M
Southwest Boston Senior Services, Inc	MA	Point of Service	$0	$9.2M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$7.7M
Italian Home For Children Inc	MA	Mental Illness Community Based Residential Treatment Facility	$0	$5.7M

Guardian Healthcare, LLC — Billing Profile & Reimbursement Data

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Guardian Healthcare, 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