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.

Venture Forthe, Inc. (NPI 1619062304)

Field	Value
Entity Type	Organization
Organization	Venture Forthe, Inc.
Address	3900 Packard Rd
City	Niagara Falls
State	NY
ZIP	14303
Taxonomy	Home Health Agency
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$129.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 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…	861,560	$150	$127.5M
T1020	Personal care services, per diem, 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…	5,700	$130	$757.6K
T2024	Service assessment/plan of care development, waiver	2,460	$300	$724.2K
T1001	Nursing assessment / evaluation	1,480	$160	$237K
H2017	Psychosocial rehabilitation services, per 15 minutes	1,470	$140	$211.2K
S5125	Attendant care services; per 15 minutes	880	$140	$119.1K
T1022	Contracted home health agency services, all services provided under contract, per day	310	$210	$64.2K
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…	220	$80	$17K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	90	$150	$13.8K
T1030	Nursing care, in the home, by registered nurse, per diem	30	$70	$2.1K

Showing 1–10 of 12

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

Venture Forthe, Inc. — 0 of 10 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

12 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…	129	910	108,820	$150	$81.8M
T1020	Personal care services, per diem, 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…	217	350	12,660	$310	$13.1M
S5125	Attendant care services; per 15 minutes	54	60	4,640	$100	$5.7M
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	5	10	640	$210	$1.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	74	120	2,410	$90	$872.1K
T2024	Service assessment/plan of care development, waiver	22	70	1,200	$200	$856.3K
T1030	Nursing care, in the home, by registered nurse, per diem	189	210	450	$120	$728.3K
T1001	Nursing assessment / evaluation	27	120	150	$130	$514.1K
T1022	Contracted home health agency services, all services provided under contract, per day	212	330	470	$170	$231.1K
H0038	Self‑help/peer services, per 15 minutes	211	240	950	$70	$205.4K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prem Tambar	NY	Rheumatology Physician	$727.2K	$6.5K

Venture Forthe, Inc. — Billing Profile & Reimbursement Data

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Venture Forthe, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References