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    OpenPayerNPI Medicare & MedicaidInterim Healthcare Of Pittsburgh, Inc.
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    Interim Healthcare Of Pittsburgh, Inc. — Billing Profile & Reimbursement Data

    NPI 1659777076 · Morgantown, WV · Nursing Care Agency

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    Interim Healthcare Of Pittsburgh, Inc. is a nursing care agency provider located in Morgantown, West Virginia. This profile covers 0 Medicare and 1 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
    OrganizationInterim Healthcare Of Pittsburgh, Inc.
    Address1111 Van Voorhis Rd
    CityMorgantown
    StateWV
    ZIP26505
    TaxonomyNursing Care Agency
    NPI EnumeratedNovember 12, 2014

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

    Payer SourceTotal Paid
    Medicaid$23.1M
    Medicare$0

    Key Findings

    INTERIM HEALTHCARE OF PITTSBURGH, INC. appears to operate as a private duty/independent nursing service based on its dominant code; the top Medicaid code is T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes), indicating the business primarily bills for short, licensed nursing visits in 15-minute increments. This code mix is consistent with a staffing model focused on frequent, brief patient contacts rather than longer episodic home health care.

    Medicaid revenue for this provider is concentrated entirely in a very narrow service set: the precomputed top-3 Medicaid codes account for 100.0% of its total Medicaid revenue, indicating almost complete dependence on a single group of billed services. Such extreme concentration suggests sensitivity to reimbursement or coverage changes affecting those specific codes.

    The single top Medicaid line, T1000, accounts for the provider's full Medicaid revenue profile and is reported as 57.6K claims, $400 avg paid/claim, $23.1M revenue (100.0% of this provider's total Medicaid revenue). This singular reliance on one code for $23.1M in Medicaid payments makes T1000 the operational and financial driver of the organization.

    Payer mix is effectively single‑payer: the provider has no Medicare billing on file and $23.1M in Medicaid revenue, so Medicaid is the sole recorded public-payer revenue source. The absence of any Medicare billing on file highlights that this entity’s public-revenue exposure and strategy are concentrated in Medicaid programs.

    In-state competitive standing for the primary code is strong: the provider ranks #1 of 3 providers in-state and sits at the 100th percentile for T1000, but the underlying data labels this as "typical, unremarkable volume for this code." In practice this means the provider is the top biller among a small number of peers rather than demonstrating an unusually large or extraordinary outlier volume.

    Operationally, billing predominantly for T1000 (licensed nursing up to 15 minutes) implies high visit counts and scheduling complexity; delivering 57.6K claims at 15-minute increments requires robust workforce scheduling, travel logistics, and short-visit workflows. Analysts should infer operational exposures around staffing capacity, visit turnover, and administrative claims processing tied to brief licensed-nurse encounters.

    The provider’s NPI was enumerated on 2014-11-12 (~12 years ago), indicating a multi‑year presence in the market; this tenure supports the interpretation that its Medicaid-focused model is established rather than newly formed. Tenure combined with concentrated billing suggests a stable, specialized service-line orientation within the state Medicaid environment.

    From a risk/opportunity perspective, dependence on a single Medicaid code and a single payer creates both vulnerability and negotiating leverage: changes to coverage, reimbursement rates, or prior-authorization rules for T1000 could materially affect revenue, while the provider’s #1 in-state rank for the code could also support focused payer discussions or program contracting that leverages its scale among the limited set of peers.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes57,630$400$23.1M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. West Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes11057,580$370$14.3M

    Nearby Providers

    Other providers in the same ZIP code as Interim Healthcare Of Pittsburgh, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monongalia County General Hospital CompanyWVGeneral Acute Care Hospital$0$16.3M
    Monongalia Emergency Medical Services IncWVAmbulance$1.4M$11.3M
    Gr&w, IncWVClinical Neuropsychologist$0$12.2M
    Cardinal Pediatrics PLLCWVPediatrics Physician$0$11.1M
    Pace Training And Evaluation Center, IncWVDevelopmentally Disabled Services Day Training Agency$0$9.2M
    Therapy Services, LLCWVSpeech-Language Pathologist$0$8.5M
    Monongalia County General Hospital CompanyWVSpecialist$0$6.8M
    Gary MillerWVOphthalmology Physician$6.3M$0
    West Virginia Emergency Physicians, LLPWVEmergency Medicine Physician$0$4.7M
    Renaissance Care IncWVIn Home Supportive Care Agency$0$3.1M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. West Virginia Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Interim Healthcare Of Pittsburgh, Inc. — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia