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.

Mps Healthcare Inc (NPI 1689638488)

Field	Value
Entity Type	Organization
Organization	Mps Healthcare Inc
Address	8230 Leesburg Pike Ste 740
City	Vienna
State	VA
ZIP	22182
Taxonomy	Home Health Agency
NPI Enumerated	April 17, 2006

Payer Source	Total Paid
Medicaid	$81.3M
Medicare	$0

Key Findings

This provider shows no Medicare billing on file (none) and $81.3M in lifetime Medicaid revenue, making it effectively a single-payer, Medicaid-focused operation rather than a mixed Medicare/Medicaid operator. Analysts should treat Medicare as absent from this profile and focus competitive and utilization analysis on Medicaid activity.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes account for 88.0% of the provider's total Medicaid revenue. The three drivers are T1003 ($40M, 49.2%), S9124 ($23.2M, 28.6%), and T1002 ($8.3M, 10.2%), so any payment, policy, or utilization changes affecting those codes would materially impact overall revenue.

The code mix indicates a labor‑intensive, home nursing operation: T1003 (Lpn/lvn services, up to 15 minutes), T1002 (Rn services, up to 15 minutes) and S9124 (Nursing care, in the home; by licensed practical nurse, per hour) together dominate billing. High volumes of short-interval skilled nursing visits and hourly LPN home care suggest operational scale in repeated in-home nurse visits rather than episodic specialty procedures.

This provider is a statewide leader on two of its top codes: T1003 ranks #1 of 29 providers in-state (100th percentile; extreme outlier) and T1002 ranks #1 of 55 providers in-state (100th percentile; extreme outlier), indicating dominant market share for short-interval LPN/RN visit billing. By contrast, S9124 ranks #4 of 36 providers in-state (91th percentile; typical, unremarkable volume), so the provider is less uniquely dominant for hourly LPN home-care billing.

Volume and payment levels underline the operational scale: T1003 shows 86.8K claims at $461 avg paid/claim generating $40M revenue, S9124 shows 71.9K claims at $323 avg paid/claim generating $23.2M revenue, and T1002 shows 24.6K claims at $338 avg paid/claim generating $8.3M revenue. These high claim counts combined with non-trivial average paid/claim values reflect significant recurring, unit-based service delivery rather than a few high-dollar episodic services.

Although the top three codes account for the bulk of revenue, the provider also bills smaller complementary services that expand its home-care footprint: S9123 ($5.9M, 7.2%), S9125 ($1.4M, 1.8%), 97153 ($1M, 1.3%) and 97155 ($850.3K, 1.0%) are present and indicate offerings that include RN hourly care, respite, and some behavioral therapy support. These secondary lines are modest contributors individually but collectively support a broader home-health service set beyond purely LPN/RN visit units.

The concentration in a few high-volume nursing codes creates operational and reimbursement risk: because T1003, S9124, and T1002 together drive 88.0% of Medicaid revenue, changes in state coverage, billing rules, or audit focus on those codes could meaningfully affect the provider's topline. The absence of Medicare revenue further magnifies reliance on state Medicaid policy and payment stability.

The provider has an established presence in the market with NPI enumerated 2006-04-17 (~20 years ago) and is located in Vienna, VA; the long tenure combined with extreme statewide ranking on key nursing visit codes suggests sustained specialization in in-home nursing services rather than a newly entered or accidental high-volume filer.

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
T1003	Lpn/lvn services, up to 15 minutes	86,810	$460	$40M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	71,860	$320	$23.2M
T1002	Rn services, up to 15 minutes	24,620	$340	$8.3M
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)	16,000	$370	$5.9M
S9125	Respite care, in the home, per diem	8,580	$170	$1.4M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	8,110	$130	$1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	5,490	$160	$850.3K
H0046	Mental health services, not otherwise specified	2,090	$260	$536.1K
W1002	N/A	290	$70	$21.1K

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

Mps Healthcare Inc — 2 of 9 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

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	4	40	6,460	$450	$11.1M
T1003	Lpn/lvn services, up to 15 minutes	1	30	1,640	$720	$4.8M
H0046	Mental health services, not otherwise specified	355	510	6,100	$190	$2.8M
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)	5	30	1,000	$500	$2.6M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	30	90	4,220	$210	$1.6M
S9125	Respite care, in the home, per diem	3	10	1,880	$210	$1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	13	90	1,030	$260	$977.2K
T1002	Rn services, up to 15 minutes	1	60	510	$140	$263.9K
W1002	N/A	1	10	290	$70	$21.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mps Healthcare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mps Health Care	NC	Nursing Care Agency	$0	$20M
Continuum Pediatric Nursing Services Inc	IL	Nursing Care Agency	$0	$12.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ata&ana LLC	VA	Personal Care Attendant	$0	$50.5M
Advanced 4 Healthcare Inc	VA	Home Health Agency	$0	$33.2M
Careplus Home Health Services	VA	Home Health Agency	$0	$26.8M
Home Link Care, LLC	VA	Home Health Agency	$0	$24.9M
Passion Home Health Solutions LLC	VA	Home Health Agency	$0	$15.4M
Pediatric Therapy Studio	VA	Behavior Analyst	$0	$7.7M
Dal Chun	VA	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Heidi Crayton	VA	Neurology Physician	$2.4M	$0
Jung Woo	VA	Retina Specialist (Ophthalmology) Physician	$1.8M	$2.1K
Mahnaz Momeni	VA	Rheumatology Physician	$753.9K	$0

Mps Healthcare Inc — Billing Profile & Reimbursement Data

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Mps Healthcare 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

Related Providers

Nearby Providers

Frequently Asked Questions

References