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    OpenPayerNPI Medicare & MedicaidExcel Copmanion Care Inc
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    Excel Copmanion Care Inc — Billing Profile & Reimbursement Data

    NPI 1558756296 · Warminster, PA · Home Health Agency

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    Excel Copmanion Care Inc is a home health agency provider located in Warminster, Pennsylvania. This profile covers 0 Medicare and 2 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
    OrganizationExcel Copmanion Care Inc
    Address1240 Old York Rd
    CityWarminster
    StatePA
    ZIP18974
    TaxonomyHome Health Agency
    NPI EnumeratedMarch 31, 2015

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

    Payer SourceTotal Paid
    Medicaid$308.7M
    Medicare$0

    Key Findings

    EXCEL COPMANION CARE INC is effectively a single-payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $308.7M, indicating the organization's footprint and revenue stream are concentrated entirely in Medicaid. The absence of Medicare activity suggests its services and contracting are focused on Medicaid-covered populations rather than dual-eligible or Medicare-dominant cohorts.

    Revenue is extraordinarily concentrated in a single Medicaid code: W1793 accounts for $307.8M of the provider's Medicaid revenue, representing 99.7% of its $308.7M total. The precomputed top-3 share shows that the top 3 codes together make up 100.0% of Medicaid revenue, so virtually all revenue is captured by a very narrow code mix.

    The top revenue-driving code profile implies an operation built around a single high-volume service line: W1793 (no description available) generates 1.7M claims at an average paid amount of $179 per claim, which, combined with the presence of T1016 (case management) as a distant second, suggests the agency delivers one dominant service at scale with ancillary case-management activity. This pattern is consistent with a specialized, high-throughput home health or community-based service model rather than a broad multi-service provider.

    Competitive standing for W1793 is dominant within the state: EXCEL COPMANION CARE INC ranks #1 of 369 providers for W1793 and is at the 100th percentile, labeled an extreme outlier and far above typical state volume for this code. That ranking indicates the provider is the leading in-state participant for this specific service, dramatically outpacing peers.

    T1016 activity is modest and unremarkable by comparison: the provider reported 8.1K claims and $838.6K revenue (0.3% of total Medicaid revenue) for T1016, ranking #47 of 155 providers in-state at the 70th percentile. This suggests case management is offered but represents a small, secondary revenue stream relative to the dominant W1793 line.

    The provider has stable administrative tenure: its NPI was enumerated on 2015-03-31 (~11 years ago), indicating a multi-year presence in the market. That tenure combined with the extreme concentration in one Medicaid code suggests an established operational model built around that primary service.

    From a risk and operational-concentration perspective, the business faces high reliance on a single code and payer: with 99.7% of Medicaid revenue tied to W1793 and no Medicare revenue, any changes in state Medicaid policy, reimbursement for W1793, or in-network status for that specific code could materially affect the provider's revenue. Analysts should treat reimbursement and policy changes for W1793 as key sensitivities for this entity.

    For competitive and network analysis, EXCEL COPMANION CARE INC should be flagged as the primary in-state supplier for W1793: its extreme outlier status and #1 rank mean payers and competitors are likely to encounter this provider first when assessing capacity, utilization, or contracting around that code. Conversely, its lack of Medicare billing suggests limited relevance in Medicare-focused networks or analyses.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    W1793N/A1,719,810$180$307.8M
    T1016Case management, each 15 minutes8,140$100$838.6K

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    W1793N/A137010,930$170$5.8M
    T1016Case management, each 15 minutes471602,180$80$965.8K

    Nearby Providers

    Other providers in the same ZIP code as Excel Copmanion Care Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Warminster Ambulatory SurgicalPAAmbulatory Surgical Clinic/Center$1.4M$0
    Advanced Nurse Transport ServicePALand Ambulance$606.5K$27K
    Robert TokarekPADermatology Physician$312.1K$0
    Varun SaxenaPACardiovascular Disease Physician$235.5K$940
    Stephen HessPAOptometrist$182.4K$0
    Moran GottesmanPAPsychologist$164.1K$0
    Steven LevinPAPhysical Medicine & Rehabilitation Physician$158.9K$0
    Darren RichPAOptometrist$143.8K$830
    Glenn HeinrichsPAClinical Psychologist$139.7K$0
    Kevin McclurePAOptometrist$123.5K$0

    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
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Excel Copmanion Care Inc — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania