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.

Professional Home Care Services,inc (NPI 1285639914)

Field	Value
Entity Type	Organization
Organization	Professional Home Care Services,inc
Address	106 Sebethe Dr
City	Cromwell
State	CT
ZIP	06416
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	June 17, 2005

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2,700	$570	$1.5M
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	1,430	$600	$854.3K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	10,140	$60	$638.5K
A4624	Tracheal suction catheter, any type other than closed system, each	3,120	$140	$448.7K
A7030	Full face mask used with positive airway pressure device, each	5,500	$80	$429.2K
E0601	Continuous positive airway pressure (CPAP) device	6,780	$50	$366.1K
A4606	Oxygen probe for use with oximeter device, replacement	6,400	$40	$268.6K
A4604	Tubing with integrated heating element for use with positive airway pressure device	7,630	$40	$267.2K
A7521	Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each	1,670	$150	$244.8K
A7031	Face mask interface, replacement for full face mask, each	7,850	$30	$243.5K

Showing 1–10 of 53

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

Professional Home Care Services,inc — 9 of 25 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	5	10	860	$180	$1.1M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	1,600	$490	$911K
E1399	Durable medical equipment, miscellaneous	2	10	410	$780	$816.1K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	5	10	1,230	$290	$520.5K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	11	20	10,080	$30	$498.5K
A7030	Full face mask used with positive airway pressure device, each	8	20	4,310	$50	$362.8K
B4224	Parenteral nutrition administration kit, per day	3	10	950	$110	$339.5K
E0601	Continuous positive airway pressure (CPAP) device	10	20	4,910	$30	$270.7K
A7031	Face mask interface, replacement for full face mask, each	4	20	3,760	$20	$198.9K
A4604	Tubing with integrated heating element for use with positive airway pressure device	6	20	3,380	$20	$197.4K

Showing 1–10 of 53

Related Providers

Other providers that share a Tax Identification Number (TIN) with Professional Home Care Services,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Professional Home Care Services, Inc.	CT	Home Infusion Therapy Pharmacy	$0	$4.4M

Nearby Providers

Other providers in the same ZIP code as Professional Home Care Services,inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Medical Equipment Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$3.1M
Apria Healthcare LLC	CT	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Loveland Eyecare, LLC	CT	Optometrist	$0	$1.9M
Hanspaul Makkar	CT	MOHS-Micrographic Surgery Physician	$1M	$0
Cromwell Fire District	CT	Land Ambulance	$217.9K	$681.6K
James Whalen	CT	MOHS-Micrographic Surgery Physician	$440.6K	$0
Matthew Moyer	CT	Primary Care Nurse Practitioner	$220.7K	$0
Amy Chen	CT	Dermatology Physician	$124.4K	$0
Stephen Siegel	CT	Family Medicine Physician	$86.2K	$0
Kayla Curtis	CT	Nurse Practitioner	$76K	$0

Professional Home Care Services,inc — Billing Profile & Reimbursement Data

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Professional Home Care Services,inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References