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

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

American Care Partners At Home Inc (NPI 1346572690)

Field	Value
Entity Type	Organization
Organization	American Care Partners At Home Inc
Address	6521 Arlington Blvd.
City	Falls Church
State	VA
ZIP	22042
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	February 10, 2010

Payer Source	Total Paid
Medicaid	$87.4M
Medicare	$0

Key Findings

AMERICAN CARE PARTNERS AT HOME INC reports $87.4M in lifetime Medicaid revenue and has no Medicare billing on file, making its public billing footprint effectively single‑payer and concentrated in Medicaid reimbursement streams. This payer concentration means analyses and benchmarking should be framed around Medicaid program rules and state-level home-care policy drivers rather than Medicare payment dynamics.

Revenue is highly concentrated: the precomputed top three Medicaid codes (S9124, T1003, S9123) account for 94.5% of the provider's total Medicaid revenue. Individually those codes are S9124: $64.7M (74.0% of Medicaid revenue), T1003: $10.7M (12.3%), and S9123: $7.2M (8.2%), indicating that a very small set of services drives nearly all reported Medicaid dollars.

The service mix and code descriptions identify this entity as a staffing‑intensive in‑home nursing and supportive care operator. High-volume S9124 (Nursing care in the home by LPN, 150.8K claims, $429 avg paid/claim) plus substantial T1003 (LPN/LVN services up to 15 minutes, 18.1K claims, $594 avg paid/claim) and S9123 (RN hourly nursing, 13.3K claims, $538 avg paid/claim) show the business is oriented to hourly licensed nursing services rather than episodic home health or durable medical equipment.

Claim volumes reinforce the LPN/LVN workload orientation: S9124 has 150.8K claims versus 18.1K for T1003 and 13.3K for S9123, while respite (S9125) and personal care (T1019) show smaller but material volumes (14.4K and 15K claims, respectively). The low per‑unit average paid amounts for T1019 ($113) and S9125 ($219) compared with nursing rates suggest revenues are driven by billed nursing hours rather than low‑tier personal care units.

Competitive standing in Virginia is pronounced for several lines: S9124 ranks #1 of 36 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), while S9125 ranks #1 of 9 (100th percentile; notably above typical state volume for this code). T1003 ranks #3 of 29 (93th percentile; typical, unremarkable volume for this code) and S9123 ranks #7 of 34 (82th percentile), identifying the provider as a dominant statewide player for LPN hourly nursing and a leading respite provider.

Because top codes are so dominant, the provider’s financial performance is sensitive to authorization, rate, or policy changes that affect S9124, T1003, or S9123 specifically. Operationally, this concentration implies a large on‑the‑ground LPN/LVN staffing requirement and logistics footprint to support the 150.8K S9124 claims reported.

The presence of S9125 (Respite care, 14.4K claims, $219 avg paid/claim, $3.2M revenue; ranks #1 of 9, 100th percentile; notably above typical state volume) alongside the nursing codes suggests the organization bundles respite with clinical in‑home nursing capacity, which can influence utilization patterns and payer negotiations around bundled vs. discrete service authorization.

The provider has a long NPI tenure (NPI enumerated: 2010-02-10 (~16 years ago)), indicating established operations in the market; combined with its Medicaid revenue scale and state‑level rank positions, the organization should be treated as a major, established Medicaid home nursing provider in Virginia rather than a new entrant.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	150,810	$430	$64.7M
T1003	Lpn/lvn services, up to 15 minutes	18,060	$590	$10.7M
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)	13,320	$540	$7.2M
S9125	Respite care, in the home, per diem	14,400	$220	$3.2M
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…	15,010	$110	$1.7M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

American Care Partners At Home Inc — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1	40	6,460	$450	$11.1M
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…	404	760	17,620	$150	$5.5M
T1003	Lpn/lvn services, up to 15 minutes	3	30	1,640	$720	$4.8M
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)	7	30	1,000	$500	$2.6M
S9125	Respite care, in the home, per diem	1	10	1,880	$210	$1M

Nearby Providers

Other providers in the same ZIP code as American Care Partners At Home Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inova Health Care Services	VA	General Acute Care Hospital	$0	$176.6M
Emergency Medicine Associates P.A., P.C.	VA	Emergency Medicine Physician	$0	$85.6M
Inova Health Care Services	VA	Internal Medicine Physician	$0	$38M
Dominion Home Health Care LLC	VA	Home Health Agency	$0	$22.1M
Ne Virginia Emergency Physicians LLC	VA	Emergency Medicine Physician	$0	$15.5M
Fairfax Radiological Consultants	VA	Specialist	$0	$10.8M
American Anesthesiology Of Virginia PC	VA	Anesthesiology Physician	$0	$8.9M
Fairfax County Public Schools	VA	Local Education Agency (LEA)	$0	$8.2M
Capital Hospice	VA	Community Based Hospice Care Agency	$0	$5.8M
Inova Health Care Services	VA	Magnetic Resonance Imaging (MRI) Clinic/Center	$1.6M	$2.9M

American Care Partners At Home Inc — Billing Profile & Reimbursement Data

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American Care Partners At Home 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