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.

Concordia Visiting Nurses (NPI 1669474847)

Field	Value
Entity Type	Organization
Organization	Concordia Visiting Nurses
Address	613 N Pike Road
City	Cabot
State	PA
ZIP	16023
Taxonomy	Home Health Agency
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	35,270	$100	$3.4M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	32,190	$90	$3M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	19,410	$90	$1.8M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	7,550	$90	$702.2K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	1,700	$100	$161.1K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1,240	$60	$74.2K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	620	$100	$58.9K
S9131	Physical therapy; in the home, per diem	440	$100	$41.8K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	100	$50	$5.1K

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

Concordia Visiting Nurses — 4 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	82	90	12,800	$580	$9.1M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	56	70	4,620	$530	$4M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	91	90	7,780	$210	$3.1M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	5	130	1,190	$100	$528.9K
S9131	Physical therapy; in the home, per diem	13	20	910	$120	$418.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	2	80	1,050	$90	$289.6K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1	40	1,090	$90	$234.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	2	50	480	$90	$156.7K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	4	10	620	$110	$131.4K

Concordia Visiting Nurses — Billing Profile & Reimbursement Data

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Concordia Visiting Nurses — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References