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.

Moravia Health Network, LLC (NPI 1477830305)

Field	Value
Entity Type	Organization
Organization	Moravia Health Network, LLC
Address	1500 Walnut St Ste 1900
City	Philadelphia
State	PA
ZIP	19102
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 6, 2011

Payer Source	Total Paid
Medicaid	$55.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller at scale: there is no Medicare billing on file and the reported lifetime Medicaid revenue is $55.6M, indicating the organization’s commercial footprint for traditional Medicare is currently absent. The absence of Medicare activity makes this entity functionally single-payer in the available data.

Revenue is extremely concentrated in a single Medicaid code. The precomputed data show the top 3 Medicaid codes by revenue account for 100.0% of the provider’s total Medicaid revenue, and W1793 alone is listed as accounting for $55.6M (100.0% of this provider's total Medicaid revenue), signaling that nearly all economic activity is driven by that code.

W1793 dominates operational activity by claim volume and payment size: the code has 325.1K claims with a $171 avg paid/claim, producing the full $55.6M in Medicaid revenue. This high-claim, moderate-per-claim payment profile is consistent with a high-volume service model—typical for recurring in-home supportive care encounters—given the provider’s taxonomy as an In Home Supportive Care Agency.

Competitive standing within Pennsylvania for this code is strong: W1793 ranks #4 of 369 providers in-state and is in the 99th percentile, described as notably above typical state volume for this code. That ranking indicates MORAVIA HEALTH NETWORK, LLC is among the leading state providers for whatever service W1793 represents, suggesting market prominence for this specific Medicaid-coded service.

The provider’s NPI tenure is long enough to reflect established operations: the NPI was enumerated on 2011-11-06 (~15 years ago), which supports the interpretation that current high volumes are produced by a mature program rather than a short-term spike. Sustained enumeration combined with concentrated billing suggests an entrenched service line focused on Medicaid-supported in-home assistance.

The single-code concentration and single-payer dependence create operational and reimbursement concentration exposure: with 100.0% of Medicaid revenue tied to W1793, any policy, coverage, or coding change affecting that code—or revisions to state Medicaid reimbursement—would materially affect reported revenue. Analysts should treat future shifts in W1793 utilization or average paid/claim as primary drivers of revenue volatility.

Claim-level metrics point to business model characteristics analysts should monitor: 325.1K claims at $171 avg paid/claim implies scale-driven revenue generation where incremental changes in claims volume will meaningfully move dollars. For utilization management and network evaluation, monitored metrics should include claims-per-recipient, repeat-visit patterns, and any state-level edits or prior-authorization changes that would alter claim counts.

Given the lack of Medicare billing and the concentrated Medicaid profile, comparative benchmarking should focus on in-state peers for W1793 and on Medicaid-only home-care providers. High percentile rank (#4 of 369, 99th percentile) for W1793 makes peer comparisons especially relevant for understanding competitive position, pricing leverage, and potential capacity constraints relative to similar in-home supportive care agencies.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W1793	N/A	325,110	$170	$55.6M

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

Moravia Health Network, LLC — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W1793	N/A	4	370	10,930	$170	$5.8M

Nearby Providers

Other providers in the same ZIP code as Moravia Health Network, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philadelphia Health Management Corp	PA	Case Manager/Care Coordinator	$0	$28.5M
Philadelphia Health Management Corporation	PA	Case Management Agency	$0	$28.1M
Public Health Management Corporation	PA	Community/Behavioral Health Agency	$0	$6.1M
Brian Bianco	PA	Vascular & Interventional Radiology Physician	$561.2K	$0
Jun Hou	PA	Anatomic Pathology & Clinical Pathology Physician	$429.3K	$4.7K
Angad Singh	PA	Internal Medicine Physician	$416K	$0
Mark Abdelmalek	PA	MOHS-Micrographic Surgery Physician	$402.4K	$0
Neel Parikh	PA	Internal Medicine Physician	$335.7K	$0
William Whitmire	PA	Internal Medicine Physician	$265.3K	$6K
Stephen Hess	PA	Dermatology Physician	$203.6K	$0

Moravia Health Network, LLC — Billing Profile & Reimbursement Data

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Moravia Health Network, 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

Nearby Providers

Frequently Asked Questions

References