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.

Northeast Pennsylvania Center For Independent Living (NPI 1659601979)

Field	Value
Entity Type	Organization
Organization	Northeast Pennsylvania Center For Independent Living
Address	1142 Sanderson Ave
City	Scranton
State	PA
ZIP	18509
Taxonomy	Supports Brokerage Agency
NPI Enumerated	January 8, 2010

Payer Source	Total Paid
Medicaid	$227.5M
Medicare	$0

Key Findings

NORTHEAST PENNSYLVANIA CENTER FOR INDEPENDENT LIVING appears to operate as a community-based supports and personal assistance organization: its top Medicaid codes are S5126 (Attendant care services; per diem), S5125 (Attendant care services; per 15 minutes), S5150 (Unskilled respite care, not hospice; per 15 minutes), and T2041 (Supports brokerage, self-directed, waiver; per 15 minutes), indicating the provider’s business model centers on attendant care, respite services, and self-directed waiver support rather than clinical or facility-based services.

Medicaid revenue is the sole recorded payer activity for this entity: Total Medicaid revenue is $227.5M and there is no Medicare billing on file, making this provider effectively single-payer (Medicaid) in the available dataset. Analysts should treat comparisons to Medicare peers as not applicable for this provider due to absence of Medicare claims.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes account for 86.4% of the provider’s total Medicaid revenue, signaling dependence on a narrow set of service lines. Specifically, S5126 alone generates $135.5M (59.5% of Medicaid revenue), making it the dominant revenue stream for the organization.

S5126 (per diem attendant care) is the single largest driver of revenue at $135.5M and represents 59.5% of total Medicaid revenue; the file notes this provider ranks #1 of 1 in-state for this code, indicating it is the only reported in-state biller for S5126 and therefore a statewide monopolist for that specific claim category in the available data.

S5125 (per 15 minutes attendant care) and S5150 (unskilled respite care) provide substantial secondary revenue sources at $32.8M (14.4%) and $28.4M (12.5%) respectively, and together with S5126 form the bulk of Medicaid receipts. S5125 ranks #1 of 3 providers in-state and is characterized as typical/unremarkable volume for that code, suggesting the provider is a leading but not unusually outsized participant for time-based attendant-care billing among peers.

T2041 (supports brokerage, self-directed, waiver) contributes $27.6M (12.1%) to Medicaid revenue and ranks #1 of 1 providers in-state, reinforcing the provider’s role in administering self-directed waiver services. The presence of both T2041 and T2040 (financial management, self-directed, waiver at $1.2M) indicates the organization provides both brokerage and financial management components of self-directed waiver programs.

The provider’s in-state competitive standing is mixed: for several codes (S5126, S5150, T2041, T2040, G2021) it ranks #1 of 1 providers in-state, which in this dataset indicates exclusivity or lack of reported peers rather than necessarily a large market share versus established multi-provider markets. For S5125 it ranks #1 of 3 and is at the 100th percentile described as typical volume, while W1793 ranks #301 of 369 (18th percentile) indicating minimal activity for that specific code.

G2021 (Health care practitioners rendering treatment in place (tip)) and T2040 (financial management) are much smaller revenue lines ($1.8M and $1.2M respectively) that represent niche clinical or administrative services relative to the core attendant-care/respite mix, suggesting ancillary service offerings rather than primary business drivers.

The provider has long tenure in the NPI registry, enumerated on 2010-01-08 (~16 years ago), which supports stability and an established operating history in the Medicaid waiver/attendant care space; combined with the concentrated revenue mix, this suggests sustained focus on community-based attendant and waiver support services over an extended period.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5126	Attendant care services; per diem	1,881,860	$70	$135.5M
S5125	Attendant care services; per 15 minutes	409,920	$80	$32.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	423,590	$70	$28.4M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	493,490	$60	$27.6M
G2021	Health care practitioners rendering treatment in place (tip)	1,610	$1,110	$1.8M
T2040	Financial management, self-directed, waiver; per 15 minutes	15,070	$80	$1.2M
W1793	N/A	1,310	$190	$245.7K

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

Northeast Pennsylvania Center For Independent Living — 1 of 7 codes 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5126	Attendant care services; per diem	1	10	1,881,860	$70	$135.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	1	10	423,590	$70	$28.2M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	1	10	493,490	$60	$27.6M
S5125	Attendant care services; per 15 minutes	1	10	78,310	$90	$14.1M
W1793	N/A	301	370	10,930	$170	$5.8M
G2021	Health care practitioners rendering treatment in place (tip)	1	10	1,610	$1,110	$1.8M
T2040	Financial management, self-directed, waiver; per 15 minutes	1	10	15,070	$80	$1.2M

Nearby Providers

Other providers in the same ZIP code as Northeast Pennsylvania Center For Independent Living, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph's Center	PA	Intellectual Disabilities Intermediate Care Facility	$0	$12.4M
Aaron Center, Inc.	PA	Psychiatry Physician	$0	$8M
Scranton Primary Health Care Center, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$6.9M
Lackawanna Mobile X-ray Inc	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.1M	$316.5K
The Scranton PA Endoscopy Asc LP	PA	Ambulatory Surgical Clinic/Center	$771.8K	$0
Mark Cruciani	PA	Rheumatology Physician	$413.9K	$0
Lackawanna Mobile X-ray, Inc.	PA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$216.7K	$260
David Rutta	PA	Gastroenterology Physician	$134.3K	$0
Christopher Brozena	PA	Physical Therapist	$122.3K	$0
Elmo Baldassari	PA	Foot & Ankle Surgery Podiatrist	$107.4K	$1.7K

Northeast Pennsylvania Center For Independent Living — Billing Profile & Reimbursement Data

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Northeast Pennsylvania Center For Independent Living — 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