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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Prime Health Care LLC. (NPI 1275783383)

Field	Value
Entity Type	Organization
Organization	Prime Health Care LLC.
Address	39 Terhune Avenue
City	Jersey City
State	NJ
ZIP	07305
Taxonomy	Home Health Agency
NPI Enumerated	September 25, 2008

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 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…	132,750	$100	$12.7M
T1001	Nursing assessment / evaluation	180	$20	$4.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Jersey Distribution

Prime Health Care LLC. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

2 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…	66	280	31,400	$90	$15.4M
T1001	Nursing assessment / evaluation	33	60	180	$40	$31.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Senior Health LLC	NJ	Adult Day Care Clinic/Center	$0	$35.6M
Jersey City Public Schools	NJ	Local Education Agency (LEA)	$0	$33.2M
Nj Home Health Care LLC	NJ	In Home Supportive Care Agency	$0	$10.6M
Simon Badin	NJ	Hematology & Oncology Physician	$467.2K	$0
Anca Georgescu	NJ	Infectious Disease Physician	$89K	$0
Ruchika Batwara	NJ	Nephrology Physician	$77.4K	$11.5K
Diane Badin	NJ	Internal Medicine Physician	$73.3K	$0
Sv Pharma Inc	NJ	Pharmacy	$38.8K	$0

Prime Health Care LLC. — Billing Profile & Reimbursement Data

Sign up for Prime Health Care LLC. — Billing Profile & Reimbursement Data policy alerts

Prime Health Care LLC. — Billing Profile & Reimbursement Data

Sign up for Prime Health Care LLC. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References