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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

St Lukes Episcopal Church Home Care Program (NPI 1336133503)

Field	Value
Entity Type	Organization
Organization	St Lukes Episcopal Church Home Care Program
Address	Western Auto Plaza
City	Trujillo Alto
State	PR
ZIP	00978
Taxonomy	Home Health Agency
NPI Enumerated	September 2, 2005

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1001	Nursing assessment / evaluation	17,650	$60	$1.1M
S9131	Physical therapy; in the home, per diem	14,370	$70	$948.2K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	1,380	$70	$95.3K
S9129	Occupational therapy, in the home, per diem	1,360	$60	$77.4K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	630	$40	$23.5K
0012A	N/A	380	$20	$8K
0011A	N/A	530	$10	$5.8K
T1030	Nursing care, in the home, by registered nurse, per diem	90	$60	$5.2K
0031A	N/A	30	$30	$780

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Puerto Rico Distribution

St Lukes Episcopal Church Home Care Program — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	8	10	1,750	$100	$1M
S9131	Physical therapy; in the home, per diem	2	20	1,300	$70	$296.3K
T1030	Nursing care, in the home, by registered nurse, per diem	17	30	1,360	$80	$228.4K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	5	10	1,150	$80	$197K
T1001	Nursing assessment / evaluation	1	20	650	$60	$178.3K
S9129	Occupational therapy, in the home, per diem	1	10	370	$70	$35.5K
0012A	N/A	48	140	240	$30	$11.9K
0011A	N/A	36	140	240	$20	$9.9K
0031A	N/A	30	40	60	$30	$4.6K

St Lukes Episcopal Church Home Care Program — Billing Profile & Reimbursement Data

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St Lukes Episcopal Church Home Care Program — Billing Profile & Reimbursement Data

Sign up for St Lukes Episcopal Church Home Care Program — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References