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    OpenPayerNPI Medicare & MedicaidEfcc Acquisition Corp
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    Efcc Acquisition Corp — Billing Profile & Reimbursement Data

    NPI 1285744540 · Pittsburgh, PA · Home Health Agency

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    Efcc Acquisition Corp is a home health agency provider located in Pittsburgh, Pennsylvania. This profile covers 0 Medicare and 6 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
    OrganizationEfcc Acquisition Corp
    Address3424 William Penn Hwy
    CityPittsburgh
    StatePA
    ZIP15235
    TaxonomyHome Health Agency
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicaid$46.6M
    Medicare$0

    Key Findings

    EFCC ACQUISITION CORP is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $46.6M in total Medicaid revenue, indicating Medicaid is the dominant and sole reported public payer for its services. This concentration in a single program shapes competitive exposure and payment-policy risk.

    Revenue is highly concentrated in a small set of services: the top three Medicaid codes (S9122, G0156, T1019) together account for 85.6% of the provider’s total Medicaid revenue. Those top codes individually generate $14.8M (S9122, 31.8%), $14.6M (G0156, 31.4%), and $10.4M (T1019, 22.4%) respectively, underscoring dependence on a narrow set of care-line activities.

    The code mix indicates an operational focus on home-based personal care and aide services rather than on high-intensity skilled therapies: S9122 is “Home health aide or certified nurse assistant” and G0156 is “Services of home health/hospice aide,” while T1019 is “Personal care services.” This pattern is consistent with a business built around high-volume, direct-care aides and personal care delivery in the home.

    EFCC is a dominant outlier in at least one aide-service market: S9122 is reported at $14.8M with 59.3K claims and the provider ranks #1 of 80 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). That standing suggests EFCC is a statewide leader for the specific home health aide/hourly market.

    The provider is also a major participant for closely related aide services but less singularly dominant: G0156 reports 61.2K claims for $14.6M and ranks #4 of 91 providers in-state (97th percentile; notably above typical state volume), while T1019 reports 39.7K claims for $10.4M and ranks #8 of 85 providers in-state (92th percentile; typical, unremarkable volume). Together these rankings show EFCC competes at the high end of the market for aide and personal care services, with varying degrees of competitive intensity by code.

    Licensed practical nurse services are present but secondary to aide work: S9124 (LPN nursing care in the home) contributes $3.9M (8.3% of Medicaid revenue) with 4.4K claims and sits at the 21th percentile in-state, and T1003 (LPN/LVN services) contributes $2M (4.3% of revenue) with 3.2K claims at the 17th percentile. These lower-percentile placements and smaller revenue shares indicate LPN services are a modest revenue stream relative to the aide-focused core business.

    Operational profile shows a high-volume, low-unit-payment model for frontline caregiving: the top codes record very large claim counts (59.3K for S9122, 61.2K for G0156, 39.7K for T1019) with average paid/claim around $250 ($250, $239, $263 respectively). This suggests margins and cash flow will be sensitive to per-visit reimbursement adjustments and care-delivery efficiency rather than episodic high-dollar procedures.

    EFCC’s NPI has been enumerated since 2006-08-30 (~20 years ago), indicating an established operating tenure in the market. That longevity combined with concentrated revenue in three aide/personal-care codes creates both a stable historical footprint and a business exposure: significant dependence on a narrow set of Medicaid services makes the provider vulnerable to policy, rate, or contracting shifts affecting those specific codes.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour59,270$250$14.8M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes61,190$240$14.6M
    T1019Personal 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…39,670$260$10.4M
    S9124Nursing care, in the home; by licensed practical nurse, per hour4,400$880$3.9M
    T1003Lpn/lvn services, up to 15 minutes3,160$640$2M
    W1793N/A5,870$140$822.4K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9124Nursing care, in the home; by licensed practical nurse, per hour739012,800$580$9.1M
    W1793N/A22537010,930$170$5.8M
    T1003Lpn/lvn services, up to 15 minutes811007,910$530$5.3M
    T1019Personal 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…8908,060$110$3.9M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes4907,780$210$3.1M
    S9122Home health aide or certified nurse assistant, providing care in the home; per hour1805,780$220$2.2M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Efcc Acquisition Corp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Efcc Acquisition CorpPAHome Health Agency$0$13.1M
    Efcc Acquisition CorpPAHome Health Agency$0$9.6M

    Nearby Providers

    Other providers in the same ZIP code as Efcc Acquisition Corp, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    United Seating And Mobility LLCPADurable Medical Equipment & Medical Supplies$0$7.2M
    Tracy SeewaldPAInternal Medicine Physician$51.6K$0
    Usdl Pittsburgh, Inc.PARadiology Clinic/Center$14.6K$0

    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. Pennsylvania Providers
    5 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Efcc Acquisition Corp — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania