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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Priority Care, Inc. (NPI 1578544961)

Field	Value
Entity Type	Organization
Organization	Priority Care, Inc.
Address	500 Enterprise Dr Ste 307
City	Rocky Hill
State	CT
ZIP	06067
Taxonomy	Home Health Agency
NPI Enumerated	November 11, 2005

Payer Source	Total Paid
Medicaid	$53.5M
Medicare	$0

Key Findings

PRIORITY CARE, INC. is effectively a single-payer Medicaid-focused home health agency: there is no Medicare billing on file while lifetime Medicaid revenue totals $53.5M, indicating Medicaid is the sole documented public payer driving this provider's scale. The absence of Medicare revenue suggests the organization’s business operations, referral networks, and reimbursement exposure are concentrated entirely in the Medicaid program.

Revenue is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes account for 89.0% of the provider’s total Medicaid revenue, signaling reliance on a narrow set of Medicaid-covered home health services for the majority of cash flow. This concentration raises operational dependence on those service categories and on payor coverage/policy for those specific visit and aide codes.

T1502 (Administration of oral, intramuscular and/or subcutaneous medication, per visit) is the single largest revenue driver, producing $31.6M or 59.1% of the provider’s Medicaid revenue and accounting for 620.2K claims. With T1502 ranked #4 of 37 in-state and described as typical volume for the code, the provider appears to operate at scale for medication administration visits relative to many peers but not as an outlier; this underpins a service model centered on frequent med administration in-home.

S9123 (Nursing care in the home by registered nurse, per hour) and T1004 (qualified nursing aide services, up to 15 minutes) are the secondary drivers, producing $8.3M (15.5%) and $7.8M (14.5%) respectively. Both codes rank in the 95th percentile among in-state peers (S9123 #5 of 79; T1004 #4 of 63) and are described as "typical, unremarkable volume," which positions PRIORITY CARE as a high-volume but not anomalous provider of in-home skilled nursing and aide services in Connecticut.

Additional Medicaid codes provide much smaller shares of revenue but reflect a full-range home health skill mix: S9124 (LPN hourly care) contributes $3.0M (5.6%), G0162 (RN plan-of-care management, each 15 minutes) contributes $2.1M (3.9%), and smaller contributions come from H0033 (direct-observation oral medication administration) and T1001 (nursing assessment/evaluation). This dispersion beyond the top three indicates the operation delivers both hands-on medication administration and associated nursing oversight/assessment functions.

Competitive standing within Connecticut is strong but not singularly dominant: multiple key codes place PRIORITY CARE in the 88th–95th percentile statewide (e.g., T1502 at the 92th percentile, S9123 and T1004 at the 95th), which indicates the provider is one of the larger home health operators for these services in-state but still has clear peer competition. No Medicaid code is labeled an extreme outlier in the supplied data; volumes are characterized as typical or unremarkable relative to other high-volume providers.

The provider has long tenure in NPI records, enumerated around 2005-11-11 (~21 years ago), which suggests institutional experience and an established operational footprint in the market. That longevity, combined with concentrated Medicaid revenue, implies the organization has sustained relationships with Medicaid-managed care plans and referencing networks that feed the high-volume service lines.

Operational implications: the dominant reliance on visit-based medication administration (T1502) and high volumes of RN and aide time (S9123, T1004) suggest PRIORITY CARE’s core competency is frequent, hands-on in-home medication support and ongoing custodial/skilled nursing care. Business risk for the provider would therefore be most sensitive to Medicaid rate changes, utilization controls, or policy shifts specifically targeting medication administration and high-frequency in-home nursing services.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	620,150	$50	$31.6M
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)	116,750	$70	$8.3M
T1004	Services of a qualified nursing aide, up to 15 minutes	250,110	$30	$7.8M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	40,980	$70	$3M
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…	33,720	$60	$2.1M
H0033	Oral medication administration, direct observation	27,560	$20	$441K
T1001	Nursing assessment / evaluation	4,840	$70	$319.2K
T1002	Rn services, up to 15 minutes	760	$30	$22.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Priority Care, Inc. — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	4	40	98,180	$50	$17.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	9	70	5,660	$150	$3.6M
T1004	Services of a qualified nursing aide, up to 15 minutes	4	60	26,810	$40	$2.8M
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)	5	80	14,190	$80	$2.7M
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…	4	60	4,250	$50	$511.6K
H0033	Oral medication administration, direct observation	2	10	28,360	$20	$484.4K
T1002	Rn services, up to 15 minutes	17	30	760	$40	$152.9K
T1001	Nursing assessment / evaluation	5	60	1,000	$60	$140.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New England Home Care Inc.	CT	Home Health Agency	$0	$397.1M
Physicians For Women's Health LLC	CT	Obstetrics & Gynecology Physician	$0	$57.3M
Starling Physicians, PLLC	CT	Internal Medicine Physician	$0	$38.1M
Connecticut Addiction Medicine, LLC	CT	Addiction Psychiatry Physician	$0	$21.1M
Atg Connecticut Inc	CT	Customized Equipment (DME)	$0	$19.9M
Centerwell Certified Healthcare Corp.	CT	Home Health Agency	$0	$17M
Masters In Home Care, LLC	CT	Home Health Agency	$0	$10M
Mc Diagnostic Of Connecticut, P.C.	CT	Family Nurse Practitioner	$0	$4.7M
Rocky Hill Surgery Center, LLC	CT	Ambulatory Surgical Clinic/Center	$1.3M	$254.9K
Rocky Hill Public Schools	CT	Local Education Agency (LEA)	$0	$1.4M

Priority Care, Inc. — Billing Profile & Reimbursement Data

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Priority Care, Inc. — 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