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

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

Pediatric, Infant & Family Home Health Care Specialists, Inc (NPI 1285701235)

Field	Value
Entity Type	Organization
Organization	Pediatric, Infant & Family Home Health Care Specialists, Inc
Address	1512 Burr St
City	Gary
State	IN
ZIP	46406
Taxonomy	Home Health Agency
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	29,800	$150	$4.6M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Pediatric, Infant & Family Home Health Care Specialists, Inc — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	38	130	15,770	$110	$3.9M

Nearby Providers

Other providers in the same ZIP code as Pediatric, Infant & Family Home Health Care Specialists, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Micahl Holloway	IN	Family Nurse Practitioner	$24.8K	$0

Pediatric, Infant & Family Home Health Care Specialists, Inc — Billing Profile & Reimbursement Data

Sign up for Pediatric, Infant & Family Home Health Care Specialists, Inc — Billing Profile & Reimbursement Data policy alerts

Pediatric, Infant & Family Home Health Care Specialists, Inc — Billing Profile & Reimbursement Data

Sign up for Pediatric, Infant & Family Home Health Care Specialists, Inc — 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