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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Hha, LLC (NPI 1316358740)

Field	Value
Entity Type	Organization
Organization	Prime Hha, LLC
Address	3454 Oak Alley Ct Ste 500
City	Toledo
State	OH
ZIP	43606
Taxonomy	Home Health Agency
NPI Enumerated	May 20, 2014

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	87,130	$60	$4.8M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	108,860	$30	$3M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	12,770	$40	$561.9K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	10,270	$40	$390.2K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	2,210	$70	$143.5K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1,690	$70	$113.5K
T1001	Nursing assessment / evaluation	500	$30	$16K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Prime Hha, LLC — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

7 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…	112	830	20,350	$70	$3.1M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	80	480	27,490	$30	$2.5M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	137	380	4,540	$40	$794.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	151	560	3,370	$40	$543.8K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	79	200	950	$60	$281.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	46	100	1,500	$60	$257K
T1001	Nursing assessment / evaluation	248	500	490	$30	$45.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prime Hha, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tridia Hospice Care, LLC	OH	Community Based Hospice Care Agency	$0	$138.7M
Prime Home Care,llc	OH	Home Health Agency	$0	$38.3M
Traditions Hospice Of Highland Heights, LLC	OH	Community Based Hospice Care Agency	$0	$34M
Hospice Of Miami County, Inc.	OH	Community Based Hospice Care Agency	$0	$11.3M
A-1 Nursing Care Of Cleveland LLC	OH	Home Health Agency	$0	$9.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Toledo Hospital	OH	General Acute Care Hospital	$0	$151.2M
Harbor	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$77.4M
Emergency Physicians Of Northwest Ohio Inc.	OH	Emergency Medicine Physician	$0	$32.6M
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$22.2M
Pharmacy Counter, LLC	OH	Durable Medical Equipment & Medical Supplies	$0	$19.7M
Empowered For Excellence Behavioral Health Ohio	OH	Community/Behavioral Health Agency	$0	$13.4M
Empowered For Excellence Behavioral Health Ohio	OH	Community/Behavioral Health Agency	$0	$11.1M
Harbor	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.4M
A Better Life 2 Embrace LLC (a.b.l.e.) LLC	OH	Community/Behavioral Health Agency	$0	$9.9M
Toledo Radiological Associates, Inc.	OH	Diagnostic Radiology Physician	$0	$9.4M

Prime Hha, LLC — Billing Profile & Reimbursement Data

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Prime Hha, LLC — 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