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

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

Patient Centered Care (NPI 1639512262)

Field	Value
Entity Type	Organization
Organization	Patient Centered Care
Address	808 Loudoun Ave
City	Portsmouth
State	VA
ZIP	23707
Taxonomy	Home Health Agency
NPI Enumerated	April 13, 2013

Payer Source	Total Paid
Medicaid	$6.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 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…	37,310	$150	$5.6M
T1005	Respite care services, up to 15 minutes	7,110	$90	$625.9K
G2021	Health care practitioners rendering treatment in place (tip)	40	$840	$31K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Patient Centered Care — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

3 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…	236	760	17,620	$150	$5.5M
T1005	Respite care services, up to 15 minutes	216	570	4,400	$80	$831.8K
G2021	Health care practitioners rendering treatment in place (tip)	168	290	40	$790	$56.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fishing Point Health Care LLC	VA	General Practice Physician	$0	$169.8M
Maryview Hospital LLC	VA	General Acute Care Hospital	$0	$74.9M
Safe Harbor Behavioral Healthcare, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$13.8M
Premier Home Health Care LLC	VA	Home Health Agency	$0	$9.4M
Connecting Communities, LLC	VA	Community/Behavioral Health Agency	$0	$9.2M
Anointed And Blessed Home Health Care, LLC	VA	Home Health Agency	$0	$7.4M
Gloria's Angels Home Health Care	VA	Home Health Agency	$0	$6.1M
Tidewater Medical Transport, Inc	VA	Ambulance	$394.5K	$171.2K
Karen Olmo	VA	Physician Assistant	$251.2K	$0
Steven Blasdell	VA	Orthopaedic Surgery Physician	$171.8K	$1.2K

Patient Centered Care — Billing Profile & Reimbursement Data

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Patient Centered Care — Billing Profile & Reimbursement Data

Sign up for Patient Centered Care — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References