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.

Metro Pavia At Home, LLC (NPI 1437563418)

Field	Value
Entity Type	Organization
Organization	Metro Pavia At Home, LLC
Address	Metropolitan Office Building
City	Arecibo
State	PR
ZIP	00612
Taxonomy	Home Health Agency
NPI Enumerated	June 17, 2014

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

Key Findings

METRO PAVIA AT HOME, LLC is effectively a Medicaid-only home health agency: there is no Medicare billing on file while total Medicaid revenue is $6.6M, indicating its operations and revenue are focused almost entirely on Medicaid patients rather than dual or Medicare-heavy payer mixes.

Revenue concentration is extremely high: the top 3 Medicaid codes account for 96.0% of the provider's total Medicaid revenue, signaling that a very small set of services drives nearly all revenue and the business is specialized around those code lines.

Skilled nursing in the home is the dominant service line—G0299 represents $5.2M and 79.1% of the provider's Medicaid revenue. This weighting shows the agency operates primarily as a skilled nursing/home health nursing provider delivering RN services in the home setting.

The provider is a statewide leader on several high-volume codes: G0299 ranks #1 of 11 providers in Puerto Rico and is at the 100th percentile, and S9379 and E2402 also rank #1 in-state (each 100th percentile). Those rank positions indicate a dominant market share for specific home health and infusion-related services within Puerto Rico.

Other active service lines support the core nursing business: S9379 (home infusion per diem) contributes $629.4K (9.6% of revenue) and G0151 (in-home PT) contributes $484.3K (7.3% of revenue), showing the agency offers infusion and therapy services alongside nursing care rather than relying solely on a single modality.

Several additional codes are present at much lower volume—G0156, G0155, 99600, and 97802 together make up a small share of revenue—indicating ancillary aides, social work, miscellaneous home visits, and nutrition counseling are offered but are not material drivers of revenue.

The provider's NPI was enumerated in 2014-06-17 (~12 years ago), reflecting over a decade of active enrollment which supports the observed established presence in the state's home health market and the high statewide ranks on core codes.

Given the extreme revenue concentration in G0299 (79.1%) and the top-3 share at 96.0%, the business is operationally and financially concentrated; any changes in Medicaid policy, coverage of G0299, or competitive shifts around in-home RN services could have outsized impact on the provider's financial performance.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	49,200	$110	$5.2M
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	9,540	$70	$629.4K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	5,380	$90	$484.3K
E2402	Negative pressure wound therapy electrical pump, stationary or portable	2,200	$70	$149.4K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1,100	$70	$71.2K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	320	$110	$34K
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	40	$120	$4.8K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	20	$90	$1.3K

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

Metro Pavia At Home, LLC — 5 of 8 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

8 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	1	10	1,750	$100	$1M
E2402	Negative pressure wound therapy electrical pump, stationary or portable	1	10	1,100	$330	$349.9K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	1	10	1,650	$60	$247.7K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	2	10	1,150	$80	$197K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1	10	950	$60	$61.4K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	1	10	230	$110	$24.4K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	118	130	210	$30	$20.9K
99600	Use 99600 to report a home visit service or procedure that does not have a specific code.	4	10	270	$30	$10.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Metro Pavia At Home, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Pavia At Home LLC	PR	Home Health Agency	$0	$5.6M
Metro Pavia At Home LLC	PR	Home Health Agency	$0	$954.2K
Metro Pavia At Home, LLC	PR	Home Health Agency	$0	$746K

Nearby Providers

Other providers in the same ZIP code as Metro Pavia At Home, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sociedad De Servicios Neonatales De Arecibo	PR	Neonatal-Perinatal Medicine Physician	$0	$14.3M
Laboratorio Clinico Toledo, LLC	PR	Clinical Medical Laboratory	$83.2K	$11.9M
Hospicio La Paz Inc	PR	Community Based Hospice Care Agency	$0	$5.7M
Retina Care Psc	PR	Ophthalmology Physician	$0	$4.3M
Integral Therapy Center	PR	Hearing and Speech Clinic/Center	$0	$3.8M
Luis Montalvo	PR	Ophthalmology Physician	$8K	$3.5M
Laboratorio Clinico Villa Los Santos	PR	Clinical Medical Laboratory	$360	$3.1M
Emergency Physician Providers, LLC	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$2.8M
Arraiza Radiology Psc	PR	Diagnostic Radiology Physician	$0	$2.8M
Instituto Del Cancer Y Enfermedades De La Sangre, Csp	PR	Hematology & Oncology Physician	$0	$2.8M

Metro Pavia At Home, LLC — Billing Profile & Reimbursement Data

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Metro Pavia At Home, LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References