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

Why is the Medicaid comparison limited to West 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. West 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.

Pro Careers, Inc (NPI 1447350632)

Field	Value
Entity Type	Organization
Organization	Pro Careers, Inc
Address	5051 Washington St W
City	Cross Lanes
State	WV
ZIP	25313
Taxonomy	Home Health Agency
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicaid	$41M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $41M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation rather than a mixed Medicare/Medicaid provider. The absence of Medicare activity should be treated as a fundamental characteristic when comparing payer mix or planning payer-specific interventions.

Revenue is highly concentrated: the top three Medicaid codes (S5130, T1019, T1005) account for 97.0% of the provider's total Medicaid receipts. This concentration indicates the business is heavily dependent on a narrow set of personal-care and homemaker services rather than a broad portfolio of home health clinical services.

The code mix (S5130 – homemaker service; T1019 – personal care services; T1005 – respite care) identifies the operation as a hands-on personal support and home care agency focused on ADL-assistance and caregiver relief rather than skilled nursing or therapy-dominant home health. Such a profile implies operational strength in high-frequency, time-based caregiver visits and scheduling capacity for large volumes of short-interval services.

Looking at code-level competitive standing, T1019 generated $11.9M (29.1% of Medicaid revenue) and ranks #2 of 78 providers in-state (99th percentile), signaling a top-tier statewide position in personal care services. S5130 produced $26.1M (63.7% of Medicaid revenue) and ranks #6 of 72 (93th percentile), which is a strong but more typical presence for homemaker services within the state.

T1005 (respite care) is notable as an outlier: 43.4K claims produced $1.7M (4.2% of revenue) and the code ranks #2 of 29 providers in-state (96th percentile) and is labeled an "extreme outlier, far above typical state volume for this code." This suggests the provider delivers unusually large-scale respite services relative to peers, a potential specialization or local demand dynamic worth investigating further.

The provider also reports meaningful volumes in ancillary supports that complement personal care: A0160 (non-emergency transportation) with 24.6K claims and $417.7K revenue ranks #6 of 112 (95th percentile), and T1002 (RN services) with 19.1K claims and $323.9K revenue ranks #8 of 151 (95th percentile). These secondary codes indicate the agency bundles transportation and some nursing visit capacity alongside its core caregiver services, broadening its service offering within Medicaid.

Operational scale is large in claim volume for its primary services—S5130 shows 68.3K claims, T1019 shows 119.3K claims, and T1005 shows 43.4K claims—demonstrating substantial recurring visit volume and scheduling throughput rather than episodic, high-dollar clinical episodes. Combined with a tenure of NPI enumeration on 2006-09-25 (~20 years ago), the provider appears to be a long-standing, operationally mature home care agency with established workflows concentrated on time-based personal and homemaker services.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	68,250	$380	$26.1M
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…	119,320	$100	$11.9M
T1005	Respite care services, up to 15 minutes	43,380	$40	$1.7M
A0160	Non-emergency transportation: per mile - case worker or social worker	24,570	$20	$417.7K
T1002	Rn services, up to 15 minutes	19,050	$20	$323.9K
T1001	Nursing assessment / evaluation	1,930	$120	$223.4K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2,180	$50	$106.7K
G2021	Health care practitioners rendering treatment in place (tip)	190	$510	$93.8K
G9002	Coordinated care fee, maintenance rate	870	$70	$62.6K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	80	$30	$2.2K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

Pro Careers, Inc — 4 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5130	Homemaker service, nos; per 15 minutes	6	70	6,710	$330	$6.6M
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…	2	80	4,510	$270	$4.7M
T1005	Respite care services, up to 15 minutes	2	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	98	120	2,950	$150	$901.9K
A0160	Non-emergency transportation: per mile - case worker or social worker	6	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	8	150	1,980	$40	$232.6K
G2021	Health care practitioners rendering treatment in place (tip)	1	10	190	$510	$93.9K
T1001	Nursing assessment / evaluation	5	60	200	$110	$90.3K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	5	50	460	$50	$63.1K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1	10	80	$30	$2.2K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Pro Careers, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Drug Rehabilitation LLC	WV	Community/Behavioral Health Agency	$0	$9.1M
First Care Services Inc.	WV	Case Management Agency	$0	$2.4M
Southern Home Care Services, Inc.	WV	Personal Care Attendant	$0	$1.8M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.6M
Birth-babies & Beyond LLC	WV	Public Health or Welfare Agency	$0	$1.3M
Meditelecare Of West Virginia PLLC	WV	Clinical Psychologist	$0	$962.6K
Wv Primary Care Inc	WV	Internal Medicine Physician	$0	$752.6K
Ashish Sheth	WV	Internal Medicine Physician	$168K	$0
Arvind Viradia	WV	Internal Medicine Physician	$116.7K	$0
David Briscoe	WV	Physical Therapist	$84.6K	$0

Pro Careers, Inc — Billing Profile & Reimbursement Data

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Pro Careers, 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