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

Why is the Medicaid comparison limited to New York 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. New York (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.

Palliative Home Care Of Niagara, Inc. (NPI 1487931093)

Field	Value
Entity Type	Organization
Organization	Palliative Home Care Of Niagara, Inc.
Address	2424 Niagara Falls Blvd
City	Niagara Falls
State	NY
ZIP	14304
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	November 10, 2011

Payer Source	Total Paid
Medicaid	$30.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	204,360	$140	$28.4M
S5125	Attendant care services; per 15 minutes	5,530	$140	$752.4K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	15,090	$30	$437.6K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	1,950	$120	$241.6K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	1,680	$130	$216.5K
E1399	Durable medical equipment, miscellaneous	1,070	$120	$128K
A4554	Disposable underpads, all sizes	2,710	$50	$124.7K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	2,340	$50	$112.3K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	1,210	$90	$104.9K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	710	$130	$95K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Palliative Home Care Of Niagara, Inc. — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

20 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…	362	910	108,820	$150	$81.8M
S5125	Attendant care services; per 15 minutes	27	60	4,640	$100	$5.7M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	10	50	1,750	$30	$3M
S0215	Non-emergency transportation; mileage, per mile	91	210	1,340	$30	$824.2K
A0130	Non-emergency transportation: wheelchair van	292	390	3,230	$60	$770.4K
A0100	Non-emergency transportation; taxi	346	530	3,870	$30	$616.9K
A4554	Disposable underpads, all sizes	121	270	1,960	$40	$584.4K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	90	220	1,050	$80	$575.4K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	77	170	1,490	$90	$464.5K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	101	200	2,660	$30	$442.1K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Palliative Home Care Of Niagara, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Stoffman	NY	Neurological Surgery Physician	$63.5K	$0
Jayaselvi Kolli	NY	Obstetrics & Gynecology Physician	$29.4K	$13.9K

Palliative Home Care Of Niagara, Inc. — Billing Profile & Reimbursement Data

Sign up for Palliative Home Care Of Niagara, Inc. — Billing Profile & Reimbursement Data policy alerts

Palliative Home Care Of Niagara, Inc. — Billing Profile & Reimbursement Data

Sign up for Palliative Home Care Of Niagara, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References