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

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

Patriot Home Care, Inc (NPI 1649681362)

Field	Value
Entity Type	Organization
Organization	Patriot Home Care, Inc
Address	5700 N Broad St
City	Philadelphia
State	PA
ZIP	19141
Taxonomy	Home Health Agency
NPI Enumerated	May 15, 2014

Payer Source	Total Paid
Medicaid	$135.9M
Medicare	$0

Key Findings

PATRIOT HOME CARE, INC reports no Medicare billing on file and $135.9M in lifetime Medicaid revenue, making Medicaid effectively the sole payer represented in the available claims data. This single-payer footprint should frame comparative analyses and suggests any payer mix conclusions are dominated by Medicaid activity for this entity.

The provider's top three Medicaid codes account for 100.0% of its Medicaid revenue, indicating extreme revenue concentration in a very small set of codes. In practice this concentration is even narrower: a single code, W1793, is reported as representing the entire $135.9M Medicaid revenue for the provider.

W1793 is reported with 823.6K claims and a $165 avg paid/claim, producing $135.9M in revenue (100.0% of the provider's Medicaid revenue). That combination of very high claim volume and a mid-range per-claim payment pattern is characteristic of high-frequency, per-encounter or per-item billing rather than rare, episodic high-dollar services.

As a Home Health Agency by taxonomy, the reliance on a single Medicaid code with no description available in the dataset suggests the organization is operationally focused on a narrow service or supply line; because the dataset lists "no description available" for W1793, analysts should confirm the code-to-service mapping before drawing clinical or operational conclusions. The concentrated code mix implies specialized throughput or a repeatable commodity-like service within the agency's business model.

PATRIOT HOME CARE ranks #2 of 369 in-state for W1793 and is flagged as a "100th percentile; extreme outlier, far above typical state volume for this code," establishing it as a dominant high-volume provider for that code within Pennsylvania. This standing indicates the provider outpaces most peers for this line of billing and is a major market participant for W1793 in the state.

Because W1793 accounts for 100.0% of Medicaid revenue, the provider faces material revenue exposure to any reimbursement changes, utilization management reforms, or prior-authorization policies targeting that specific code. Analysts and risk managers should therefore prioritize sensitivity analyses focused on payment and utilization scenarios related to W1793.

The NPI was enumerated on 2014-05-15 (~12 years ago), indicating a multi-year presence in the market; this tenure increases the importance of determining whether the observed single-code concentration is long-standing or a more recent development. Temporal trends in claims would help distinguish a stable business model from a rapid shift in billing practice.

Recommended next steps for payer/provider analysts include obtaining the official HCPCS/claims descriptor for W1793, reviewing claim-level timing to see whether the 823.6K claims are spread over many years or clustered in a short period, and benchmarking the $165 avg paid/claim against the in-state peer set to understand whether unit pricing or utilization drives the provider's outlier status. These checks will clarify operational drivers and the degree of financial risk tied to a single code concentration.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
W1793	N/A	823,580	$170	$135.9M

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Patriot Home Care, Inc — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
W1793	N/A	2	370	10,930	$170	$5.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Albert Einstein Medical Center	PA	General Acute Care Hospital	$0	$81.1M
Dr Warren E Smith Community Mental Health Mental Retardation & Substan	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$34.5M
Pathways To Housing PA, Inc.	PA	Case Management Agency	$0	$26.4M
Albert Einstein Medical Center	PA	Rehabilitation Hospital Unit	$0	$14.5M
Einstein Practice Plan Inc	PA	Emergency Medicine Physician	$0	$13.9M
Einstein Practice Plan Inc	PA	Diagnostic Radiology Physician	$0	$9.6M
Einstein Practice Plan Inc	PA	Pediatrics Physician	$0	$8M
Resources For Human Development, Inc.	PA	Case Management Agency	$0	$7.1M
Chad Home Health Agency, Inc.	PA	Home Health Agency	$0	$6M
Ruchika Patel	PA	Rheumatology Physician	$1.5M	$0

Patriot Home Care, Inc — Billing Profile & Reimbursement Data

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Patriot Home 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