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    OpenPayerNPI Medicare & MedicaidAdvanced Home Health Care Agency, Inc
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    Advanced Home Health Care Agency, Inc — Billing Profile & Reimbursement Data

    NPI 1356499099 · West Hartford, CT · Home Health Agency

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    Advanced Home Health Care Agency, Inc is a home health agency provider located in West Hartford, Connecticut. This profile covers 0 Medicare and 7 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
    OrganizationAdvanced Home Health Care Agency, Inc
    Address104 Park Rd
    CityWest Hartford
    StateCT
    ZIP06119
    TaxonomyHome Health Agency
    NPI EnumeratedJanuary 8, 2007

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

    Payer SourceTotal Paid
    Medicaid$29.2M
    Medicare$0

    Key Findings

    ADVANCED HOME HEALTH CARE AGENCY, INC is effectively a Medicaid-focused home health operator: it reports no Medicare revenue on file and $29.2M in lifetime Medicaid revenue, indicating a near-exclusive reliance on Medicaid as its payer base. This single-payer orientation has direct implications for reimbursement risk and contracting leverage, since all billed services are concentrated within state Medicaid programs rather than Medicare fee-for-service.

    Revenue concentration is highly skewed toward a small set of services: the top 3 Medicaid codes account for 95.0% of this provider’s total Medicaid revenue, with T1502 alone representing $19.8M (68.0% of Medicaid revenue). This concentration suggests the agency’s business model centers on medication administration and routine nursing visits rather than a broad mix of home health procedures.

    The dominant code T1502 (administration of oral, intramuscular and/or subcutaneous medication, per visit) drives the majority of revenue and implies an operational focus on high-volume medication administration visits. Given 360.8K claims at $55 avg paid/claim producing $19.8M, the provider appears organized to deliver frequent, visit-based medication services at scale rather than episodic skilled home health care.

    S9123 (nursing care in the home; by registered nurse, per hour) is the second major revenue contributor with $5.9M (20.0% of Medicaid revenue) and 79.1K claims, placing the provider at rank #7 of 79 in-state (92nd percentile). This ranking signals the agency is a strong regional participant for RN hour-based home nursing services, operating at volumes above most peers but not singularly dominant statewide.

    T1004 (services of a qualified nursing aide, up to 15 minutes) contributes $2.1M (7.0% of Medicaid revenue) and ranks #16 of 63 in-state (76th percentile), indicating a meaningful though smaller role for aide-level personal care in the service mix. The combination of aide services with high volumes of medication administration and RN hours suggests care workflows that blend medication support with routine nursing oversight and personal assistance.

    Other listed codes such as G0162 (skilled RN services for plan-of-care management, $1.3M, 4.5% of revenue) and T1001 (nursing assessment, $112.1K, 0.4% of revenue) are present but account for only modest shares of revenue. These secondary codes support the interpretation that the agency does some skilled nursing management and assessments, but these are not the primary revenue drivers relative to visit-based medication administration.

    Competitive standing across its top Medicaid codes is generally above-typical within Connecticut: rankings and percentiles (for example, T1502 at the 86th percentile and S9123 at the 92nd percentile) show the provider operates at higher-than-average volumes for key codes, making it a significant mid-to-upper-tier Medicaid home health provider in-state rather than a low-volume fringe player.

    The provider has a long tenure in the NPI registry, enumerated on 2007-01-08 (~19 years ago), which indicates established operations and likely experience with state Medicaid billing processes and care delivery workflows. That tenure, combined with concentrated Medicaid revenue, suggests stable specialization in home-based medication administration and nursing services within Connecticut.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit360,820$60$19.8M
    S9123Nursing 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)79,080$70$5.9M
    T1004Services of a qualified nursing aide, up to 15 minutes53,950$40$2.1M
    G0162Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…17,060$80$1.3M
    T1001Nursing assessment / evaluation1,700$70$112.1K
    S9124Nursing care, in the home; by licensed practical nurse, per hour280$70$19K
    T1002Rn services, up to 15 minutes10$50$600

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Connecticut median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit64098,180$50$17.4M
    S9124Nursing care, in the home; by licensed practical nurse, per hour63705,660$150$3.6M
    T1004Services of a qualified nursing aide, up to 15 minutes166026,810$40$2.8M
    S9123Nursing 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)78014,190$80$2.7M
    G0162Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…7604,250$50$511.6K
    T1002Rn services, up to 15 minutes3030760$40$152.9K
    T1001Nursing assessment / evaluation19601,000$60$140.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Afc Physicians Of Connecticut, PCCTUrgent Care Clinic/Center$0$5.5M
    Precision Toxicology, LLCCTClinical Medical Laboratory$0$2.9M
    Dr. Dental Of West Hartford, PCCTGeneral Practice Dentistry$0$1.5M
    Dr Antwi Eyecare LLCCTOptometrist$0$1.3M
    Neeru DuaCTOphthalmology Physician$60.1K$0
    Wei AnCTAllergy & Immunology Physician$37.7K$0
    Jasmine AbboshCTClinical & Laboratory Immunology (Allergy & Immunology) Physician$33.8K$0
    Jason LeeCTAllergy & Immunology Physician$31.7K$0
    Asha DusadCTChild & Adolescent Psychiatry Physician$13K$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. Connecticut Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Advanced Home Health Care Agency, Inc — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut