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    OpenPayerNPI Medicare & MedicaidVital Support Home Health Care Agency, Inc.
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    Vital Support Home Health Care Agency, Inc. — Billing Profile & Reimbursement Data

    NPI 1497846992 · Philadelphia, PA · Home Health Agency

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    Vital Support Home Health Care Agency, Inc. is a home health agency provider located in Philadelphia, Pennsylvania. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationVital Support Home Health Care Agency, Inc.
    Address4711 Wellington St
    CityPhiladelphia
    StatePA
    ZIP19135
    TaxonomyHome Health Agency
    NPI EnumeratedSeptember 27, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$44.1M
    Medicare$0

    Key Findings

    This entity is effectively a single-payer Medicaid operator: there is no Medicare billing on file and reported Medicaid revenue totals $44.1M. The absence of Medicare activity means the provider’s reimbursement profile, operational metrics, and payer risk are dominated entirely by Medicaid dynamics rather than a mix of public payers.

    Revenue is extremely concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, indicating virtually all Medicaid dollars flow from a very small set of billed codes. Such concentration suggests the business model and back-office processes are specialized around those narrowly defined services or supplies.

    A single code, W1793, drives the provider’s Medicaid business: it accounts for $44.1M in revenue from 317.4K claims at a $139 avg paid/claim and represents 100.0% of the provider’s Medicaid revenue. The source notes W1793 has no description available in the dataset, so while it is the clear revenue engine, the specific clinical or supply nature of that volume is not documented here.

    Competitive standing for W1793 is strong in-state: the provider ranks #5 of 369 providers in Pennsylvania and sits in the 99th percentile, described as notably above typical state volume. That ranking signals this agency is a major statewide participant for the code, likely one of the largest regional suppliers or service providers for whatever W1793 represents.

    Operational scale and throughput are substantial: processing 317.4K claims for a single code implies high-frequency service delivery or supply distribution tied to that line item, requiring sizable operational capacity in billing, logistics, or clinical staffing. Even with a modest per-claim average payment of $139, the cumulative volume produces the $44.1M Medicaid revenue reported.

    There is material concentration risk: because 100.0% of Medicaid revenue comes from the top three codes (with W1793 alone accounting for all reported Medicaid revenue), reimbursement changes, policy restrictions, or coding reclassifications affecting W1793 would have an outsized impact on the provider’s financials. The lack of Medicare business eliminates an alternate public payer revenue stream that could otherwise mitigate such shocks.

    Business/service-line implications align with the provider’s taxonomy as a Home Health Agency: the billing pattern suggests a focused operational model centered on a recurring, high-volume Medicaid-covered item or service consistent with home-based care or supplies. However, the dataset’s missing description for W1793 limits precise characterization of the clinical services or products driving revenue.

    The provider has tenure in the field, with NPI enumeration dated 2006-09-27 (~20 years ago), indicating an established presence that may support stable payer relationships and experience managing large Medicaid claim volumes. Longevity combined with top-state ranking for W1793 suggests entrenched market position for that specific Medicaid line of business.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    W1793N/A317,430$140$44.1M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    W1793N/A537010,930$170$5.8M

    Nearby Providers

    Other providers in the same ZIP code as Vital Support Home Health Care Agency, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    America's Home Health Services,llcPAHome Health Agency$0$9.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Pennsylvania Providers
    5 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Vital Support Home Health Care Agency, Inc. — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania