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    OpenPayerNPI Medicare & MedicaidEpic Health Services Inc
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    Epic Health Services Inc — Billing Profile & Reimbursement Data

    NPI 1588662449 · Worcester, MA · Home Health Agency

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    Epic Health Services Inc is a home health agency provider located in Worcester, Massachusetts. This profile covers 0 Medicare and 9 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
    OrganizationEpic Health Services Inc
    Address67 Millbrook St Ste 405
    CityWorcester
    StateMA
    ZIP01606
    TaxonomyHome Health Agency
    NPI EnumeratedJuly 13, 2005

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

    Payer SourceTotal Paid
    Medicaid$49.7M
    Medicare$0

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit612,950$60$34.3M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes312,090$40$11.5M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes55,990$40$2.2M
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes15,020$50$780.8K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes7,120$50$370.1K
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes8,610$30$249.8K
    S5130Homemaker service, nos; per 15 minutes16,850$10$117.9K
    T1503Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit1,520$50$80.5K
    S9123Nursing 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)3,150$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit313034,780$60$7.4M
    S5130Homemaker service, nos; per 15 minutes541607,330$90$3.8M
    G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes11919014,240$110$3.7M
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes53108,710$40$1.6M
    G0300Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes151703,500$40$757.2K
    S9123Nursing 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)33507,160$20$397.1K
    G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes13902,250$40$315K
    G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes10501,510$40$179.2K
    T1503Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit510850$60$77.2K

    Nearby Providers

    Other providers in the same ZIP code as Epic Health Services Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$282.1M
    Reliant Medical Group, IncMAFamily Medicine Physician$0$101.8M
    Massachusetts Rehabilitation CommissionMACommunity/Behavioral Health Agency$0$64.6M
    Elder Services Of Worcester Area, IncMACase Management Agency$0$48.3M
    Youth Opportunities Upheld, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$44.2M
    Pediatric Services Of America, LLCMANursing Care Agency$0$29M
    Abba Home Care, LLCMAHome Health Agency$0$18.9M
    Vna Care Network, Inc.MAHome Health Agency$0$13.5M
    Seven Hills Aspire, Inc.MARespite Care$0$11.4M
    Advocates, IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$6.8M

    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.

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    Medicaid Revenue by Year vs. Massachusetts Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Epic Health Services Inc — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts