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

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

Act Home Health Services, Inc (NPI 1306878798)

Field	Value
Entity Type	Organization
Organization	Act Home Health Services, Inc
Address	1121 S 11th St
City	Philadelphia
State	PA
ZIP	19147
Taxonomy	Home Health Agency
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$125.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator: there is no Medicare billing on file and lifetime Medicaid revenue is $125.9M, indicating the organization’s entire documented Medicare/Medicaid footprint in the dataset is driven by Medicaid. That concentration implies operational focus and financial dependence on Medicaid program rules and payments.

Revenue is highly concentrated in a very small set of codes: the top 3 Medicaid codes account for 74.5% of the provider’s total Medicaid revenue. The three leading codes are S9124 ($48M, 38.1% of Medicaid revenue), T2025 ($31.5M, 25.0%), and S9123 ($14.3M, 11.4%), showing a narrow set of service lines driving most receipts.

The code mix indicates a labor-intensive, home-based nursing operation with substantial involvement in waiver and private-duty nursing services. Large volumes and payments for S9124 (nursing by LPN per hour), S9123 (nursing by RN per hour), T1003/T1002 (15-minute LPN/RN units), and T1000 (private duty licensed nursing) point to an agency model that bills hourly and short-interval nursing services rather than acute episodic procedural care.

S9124 is a clear outlier in the state: the provider reported $48M in revenue from S9124 (38.1% of its Medicaid revenue), ranking #2 of 92 providers in-state (99th percentile; extreme outlier). This position indicates dominant scale specifically in LPN home nursing hours compared with peers, making S9124 a signature service line for the business.

S9123 and T1002 show similarly elevated RN service volumes relative to peers: S9123 produced $14.3M (11.4% of Medicaid revenue) and ranks #4 of 73 providers in-state (96th percentile; notably above typical state volume), while T1002 generated $7.1M (5.7%) and ranks #5 of 90 providers (96th percentile; notably above typical). These placements suggest the provider is one of the larger in-state suppliers of RN-level home nursing.

Waiver services (T2025) represent a large share ($31.5M, 25.0% of Medicaid revenue) but a more typical competitive position within that code set: the provider ranks #9 of 24 in-state (65th percentile; typical, unremarkable volume). This suggests meaningful participation in waiver programs without the same extreme market dominance seen in its LPN hour volumes.

Private-duty and short-interval nursing codes also contribute materially and show mixed competitive signals: T1003 accounted for $13.5M (10.7%) and ranks #10 of 97 providers in-state (91st percentile; typical), while T1000 accounted for $11.5M (9.1%) and ranks #1 of 10 providers (100th percentile; typical). The combination of top rank in a narrow private-duty cohort and high-volume placement in broader short-interval codes shows the provider competes strongly in certain niche segments.

The provider’s NPI has been enumerated since 2006-07-07 (~20 years ago), indicating long tenure in the market. Combined with the concentration of revenue in a few high-volume home-nursing and waiver codes, this longevity suggests an established operational footprint but also a degree of business risk tied to Medicaid policy or rate changes affecting those specific codes.

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 Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	80,650	$600	$48M
T2025	Waiver services; not otherwise specified (nos)	14,170	$2,220	$31.5M
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)	27,740	$520	$14.3M
T1003	Lpn/lvn services, up to 15 minutes	21,030	$640	$13.5M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	17,630	$650	$11.5M
T1002	Rn services, up to 15 minutes	12,870	$560	$7.1M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Act Home Health Services, Inc — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	9	20	10,570	$680	$14M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	2	90	12,800	$580	$9.1M
T1003	Lpn/lvn services, up to 15 minutes	10	100	7,910	$530	$5.3M
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)	4	70	4,620	$530	$4M
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	1	10	1,410	$570	$3.6M
T1002	Rn services, up to 15 minutes	5	90	1,850	$400	$1.5M

Nearby Providers

Other providers in the same ZIP code as Act Home Health Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Age Home Care, Inc	PA	Home Health Agency	$0	$14.6M
Greater Philadelphia Health Action Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$12.3M
James Volpe	PA	Family Medicine Physician	$197.8K	$122K
G S Gross	PA	Family Medicine Physician	$216.2K	$0
Amna Malik	PA	Podiatrist	$108.9K	$0
Amanda Lesko	PA	Speech-Language Pathologist	$98.6K	$0
Nicholas Turner	PA	Student in an Organized Health Care Education/Training Program	$66.6K	$0
George Chau	PA	Physical Therapist	$58.3K	$0
Marc Petrone	PA	Internal Medicine Physician	$39.6K	$0
William Zaccone	PA	Internal Medicine Physician	$32.3K	$0

Act Home Health Services, Inc — Billing Profile & Reimbursement Data

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Act Home Health Services, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References