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

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

Kings Home Healthcare Inc. (NPI 1457587222)

Field	Value
Entity Type	Organization
Organization	Kings Home Healthcare Inc.
Address	353 Markle Dr Ste 6
City	Harrisburg
State	PA
ZIP	17111
Taxonomy	Home Health Agency
NPI Enumerated	June 6, 2009

Payer Source	Total Paid
Medicaid	$65M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available claims data: Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $65M. The absence of Medicare billing indicates the organization’s billed activity, at least in this dataset, is concentrated entirely on Medicaid programs rather than a mixed Medicare/Medicaid payer mix.

Revenue is highly concentrated in a very narrow set of service lines: the top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue. Those codes are G0156 ($41.4M, 63.7%), T1019 ($21.1M, 32.5%), and S9122 ($2.5M, 3.9%), so payers evaluating overall risk or utilization should note nearly all Medicaid dollars flow through these three billing lines.

The code mix (G0156, T1019, S9122) points to a home-based direct care business model focused on aide and personal care services rather than skilled nursing or therapy: G0156 and S9122 reimburse for home health/hospice aide or certified nurse assistant time, and T1019 covers personal care services per 15 minutes. This pattern is consistent with a provider operating primarily as a home health/home aide and personal care services organization rather than a broader multi-service clinical agency.

G0156 is a clear statewide outlier and the dominant revenue driver: 187.1K claims, $221 avg paid/claim, $41.4M revenue (63.7% of this provider's total Medicaid revenue), ranking #1 of 91 providers in-state and described as an "extreme outlier". That rank and percentile position indicate the provider is unusually large in delivering 15-minute home health/hospice aide services compared with in-state peers.

T1019 is also a major contributor to revenue and market footprint despite the dataset labeling its volume as "typical, unremarkable": 99K claims, $213 avg paid/claim, $21.1M revenue (32.5% of this provider's total Medicaid revenue), ranking #2 of 85 providers in-state at the 99th percentile. The high rank combined with the substantial share implies the provider has a large personal care services operation relative to other in-state providers.

S9122 represents a small but present hourly aide service line: 13.4K claims, $188 avg paid/claim, $2.5M revenue (3.9% of this provider's total Medicaid revenue), ranking #20 of 80 providers in-state at the 76th percentile and characterized as "typical, unremarkable" for this code. This suggests the provider supplements its primary 15-minute aide and personal care offerings with some hourly aide capacity but not at the same scale.

Operational tenure appears established: the NPI was enumerated on 2009-06-06 (~17 years ago), consistent with a long-running home health agency likely to have developed referral relationships and operational processes supporting high-volume aide and personal care delivery. Analysts should interpret the large Medicaid footprint in light of nearly two decades of operation in HARRISBURG, PA.

Competitive implications for payers and networks: in statewide Medicaid markets this provider should be considered a dominant supplier of short-interval home health aide services (G0156) and a top personal care contractor (T1019), given the #1 and #2 in-state ranks and associated revenue shares. Payers assessing network adequacy, contracting, or utilization-management strategies will likely treat KINGS HOME HEALTHCARE INC. as a major Medicaid partner for aide-based home services in Pennsylvania.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	187,110	$220	$41.4M
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…	99,030	$210	$21.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	13,380	$190	$2.5M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Kings Home Healthcare Inc. — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	1	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	20	80	5,780	$220	$2.2M

Nearby Providers

Other providers in the same ZIP code as Kings Home Healthcare Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Home Care LLC	PA	Home Health Agency	$0	$9.8M
Paragon Home Health Care Corporation	PA	Home Health Agency	$0	$7.8M
Gaudenzia	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.9M
Physician's Mobile X-ray, Inc.	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.8M	$429K
Harrisburg Endoscopy & Surgery Center, Inc.	PA	Ambulatory Surgical Clinic/Center	$435.1K	$362.6K
Stacy Castaldi	PA	Diagnostic Radiology Physician	$323.8K	$180
Suneetha Vaddineni	PA	Nephrology Physician	$212K	$0
John Mclaughlin	PA	Gastroenterology Physician	$110.8K	$0
Kevin Westra	PA	Gastroenterology Physician	$103.9K	$660
Rhondey Harford	PA	Diagnostic Radiology Physician	$58.7K	$10.4K

Kings Home Healthcare Inc. — Billing Profile & Reimbursement Data

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Kings Home Healthcare 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