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.

Mercy Home Health (NPI 1467412296)

Field	Value
Entity Type	Organization
Organization	Mercy Home Health
Address	41 University Dr Ste 103
City	Newtown
State	PA
ZIP	18940
Taxonomy	Home Health Agency
NPI Enumerated	March 24, 2006

Payer Source	Total Paid
Medicaid	$26.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 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	100,310	$140	$13.8M
S9131	Physical therapy; in the home, per diem	33,360	$160	$5.2M
S9129	Occupational therapy, in the home, per diem	16,650	$160	$2.6M
99501	A home health provider, such as a registered nurse, visits a patient and her newborn at home to review plans of care and provide additional resources to the patient.	8,350	$170	$1.4M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	13,130	$90	$1.2M
S9128	Speech therapy, in the home, per diem	3,980	$160	$617.5K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	4,240	$140	$597.7K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	5,910	$90	$537.4K
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)	2,030	$170	$334.8K
S9127	Social work visit, in the home, per diem	1,800	$100	$183.6K

Showing 1–10 of 17

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

Mercy Home Health — 6 of 15 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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)	54	70	4,620	$530	$4M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	68	80	5,780	$220	$2.2M
S9128	Speech therapy, in the home, per diem	3	10	4,870	$110	$585.8K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	1	130	1,190	$100	$528.9K
Q5001	Hospice or home health care provided in patient's home/residence	3	10	40	$1,390	$520.5K
S9129	Occupational therapy, in the home, per diem	1	10	910	$130	$442.2K
S9131	Physical therapy; in the home, per diem	1	20	910	$120	$418.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	5	80	1,050	$90	$289.6K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	8	40	1,090	$90	$234.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	4	50	480	$90	$156.7K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Mercy Home Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Endoscopy Center Of Bucks County, LP	PA	Ambulatory Surgical Clinic/Center	$623.6K	$0
Stephanie Molden	PA	Obstetrics & Gynecology Physician	$373.9K	$0
John Calle	PA	Orthopedic Physical Therapist	$275.4K	$0
Christopher Aland	PA	Orthopaedic Surgery Physician	$271K	$0
Michael Rozengarten	PA	Clinical Cardiac Electrophysiology Physician	$250.6K	$0
Bruce Goodman	PA	Internal Medicine Physician	$237.4K	$0
Pennsylvania Cvs Pharmacy, L.L.C.	PA	Pharmacy	$237K	$0
George Heyrich	PA	Interventional Cardiology Physician	$234.3K	$0
David Drucker	PA	Interventional Cardiology Physician	$233.5K	$0
Albert Sydney	PA	Psychiatry Physician	$213.7K	$0

Mercy Home Health — Billing Profile & Reimbursement Data

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Mercy Home Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References