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

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

Johns Hopkins Home Care Group, Inc (NPI 1457772535)

Field	Value
Entity Type	Organization
Organization	Johns Hopkins Home Care Group, Inc
Address	5901 Holabird Ave
City	Baltimore
State	MD
ZIP	21224
Taxonomy	Case Management Agency
NPI Enumerated	December 17, 2013

Payer Source	Total Paid
Medicaid	$43M
Medicare	$0

Key Findings

JOHNS HOPKINS HOME CARE GROUP, INC reports $43M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) operator in the available data. This concentration in one payer should shape how analysts evaluate reimbursement risk and network contracting leverage for the entity.

Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes (A9276, G0299, G0159) account for 55.2% of the provider's total Medicaid revenue. Individually, A9276 generated $9.6M (24.7% of Medicaid revenue), G0299 generated $6.7M (17.3%), and G0159 generated $5.1M (13.2%), so these three codes dominate the revenue profile.

The code mix points to a home-based chronic care and durable medical equipment (DME) operation: A9276 (invasive CGM sensor) at 5.6K claims and $1700 avg paid/claim indicates sizable continuous glucose monitoring supply activity, while G0299 (direct RN skilled nursing, 47K claims, $143 avg paid/claim) and G0159 (home physical therapy maintenance, 37K claims, $139 avg paid/claim) show large-scale home nursing and therapy services. These volumes suggest the provider runs a high-throughput home health/skilled nursing and home-therapy program alongside significant CGM device provisioning.

Competitive standing within Maryland is mixed but includes clear leadership in several categories. The provider ranks #1 of 27 for G0299 at the 100th percentile and is described as an “extreme outlier,” indicating it is a statewide leader (by claims/revenue) in RN home skilled nursing visits; it also ranks #1 of 5 for A9276 (100th percentile) and is top-ranked for several CGM-related hardware codes (A9277 and A9278 at #1), while G0159 is listed as #1 of 1 (no peer comparison available).

There is a pronounced DME and supply component to revenue beyond CGM: E1390 oxygen concentrators ($1.7M, 13.3K claims), E0601 CPAP devices ($915.3K, 1.9K claims), and enteral/feeding supplies such as B9998 ($932K) and B4035 ($477.4K) together indicate a diversified DME inventory that complements the nursing and therapy services. This mix suggests bundled service-and-supply workflows (home visits combined with device delivery/support) are a meaningful part of operations.

Operational intensity is high on home-visit services: G0299 (47K claims) and G0159 (37K claims) show sustained, repeated encounter volume which implies substantial front-line staffing and care-coordination capacity. High claim counts for per-15-minute codes also indicate revenue is driven by many brief, recurring encounters rather than a small number of high-dollar episodic events.

Several statistical signals merit attention for competitive analysis and utilization review. G0299 is explicitly labeled an “extreme outlier,” highlighting unusually large state-level volume for RN home visits; S9129 (occupational therapy per diem) is described as “notably above typical” for the state and is ranked #1 of 7, while many other high-revenue codes (e.g., A9276, A9277, A9278) are top-ranked but characterized as typical or unremarkable in volume despite the #1 rank. These labels should guide benchmarking and peer review priorities.

The provider’s NPI was enumerated on 2013-12-17 (~13 years ago), indicating an established presence in the market. Combined with leadership positions in several state rankings and the concentrated Medicaid revenue base, this tenure suggests an operationally mature home-care program focused on skilled nursing, home therapy maintenance, and DME/CGM provisioning.

Medicaid: Complete Services Breakdown

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

124 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	5,640	$1,700	$9.6M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	47,010	$140	$6.7M
G0159	Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes	36,990	$140	$5.1M
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)	16,120	$150	$2.4M
G0160	Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes	14,120	$140	$1.9M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	13,280	$130	$1.7M
S9131	Physical therapy; in the home, per diem	9,370	$150	$1.4M
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	8,180	$130	$1M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	3,640	$290	$1M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	850	$1,100	$932.5K

Showing 1–10 of 124

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Johns Hopkins Home Care Group, Inc — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

124 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0159	Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes	1	10	36,990	$140	$5.1M
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	1,500	$1,100	$2.5M
G0160	Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes	1	10	14,120	$130	$1.9M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1	30	2,110	$280	$1.3M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	8	10	1,030	$450	$1.1M
A4353	Intermittent urinary catheter, with insertion supplies	5	10	760	$860	$980.7K
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)	2	10	1,690	$150	$967.2K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	9	30	1,500	$150	$899.7K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	23	40	2,410	$140	$800.1K
S9131	Physical therapy; in the home, per diem	3	10	2,210	$160	$764.7K

Showing 1–10 of 124

Nearby Providers

Other providers in the same ZIP code as Johns Hopkins Home Care Group, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore Medical System Inc	MD	Federally Qualified Health Center (FQHC)	$0	$121.2M
Medi-rents & Sales, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$85.8M
Johns Hopkins Pharmaquip Inc	MD	Home Infusion Therapy Pharmacy	$0	$81.8M
Johns Hopkins Pediatrics At Home, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$45.6M
Community Wellness Outpatient Mental Health Center LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.6M
Key Point Health Services, Inc	MD	Mental Illness Community Based Residential Treatment Facility	$0	$19.2M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$18.8M
Eastern Avenue Health Solutions Inc.	MD	Methadone Clinic	$340.5K	$16.6M
Community Wellness Psychiatric Rehabilitation Program LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M
Dynamic Health Care LLC	MD	Mental Health Counselor	$0	$9.3M

Johns Hopkins Home Care Group, Inc — Billing Profile & Reimbursement Data

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Johns Hopkins Home Care Group, 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