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.

Pediatric Services Of America, LLC (NPI 1700816113)

Field	Value
Entity Type	Organization
Organization	Pediatric Services Of America, LLC
Address	3178 Route 219
City	Kane
State	PA
ZIP	16735
Taxonomy	Home Health Agency
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	10,940	$570	$6.2M
T1003	Lpn/lvn services, up to 15 minutes	5,890	$590	$3.5M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	7,140	$180	$1.3M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	2,170	$220	$471.3K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1,850	$200	$377.2K

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

Pediatric Services Of America, LLC — 0 of 5 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

5 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	53	90	12,800	$580	$9.1M
T1003	Lpn/lvn services, up to 15 minutes	58	100	7,910	$530	$5.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	74	90	8,060	$110	$3.9M
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	78	90	7,780	$210	$3.1M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	37	80	5,780	$220	$2.2M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatric Services Of America, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Services Of America, LLC	CT	Home Health Agency	$0	$92.9M
Pediatric Services Of America, LLC	MA	Nursing Care Agency	$0	$47.8M
Pediatric Services Of America, LLC	PA	Home Health Agency	$0	$34.9M
Pediatric Services Of America, LLC	FL	Home Health Agency	$0	$33.5M
Pediatric Services Of America, LLC	NC	Nursing Care Agency	$0	$32.4M
Pediatric Services Of America, LLC	PA	Home Health Agency	$0	$31.5M
Pediatric Services Of America, LLC	TX	Nursing Care Agency	$0	$31.3M
Pediatric Services Of America, LLC	PA	Home Health Agency	$0	$30.3M
Pediatric Services Of America, LLC	MA	Nursing Care Agency	$0	$29M
Pediatric Services Of America, LLC	WA	Nursing Care Agency	$0	$26.8M

Nearby Providers

Other providers in the same ZIP code as Pediatric Services Of America, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jamil Sarfraz	PA	Diagnostic Radiology Physician	$101.7K	$24.3K
Karen Hickey	PA	Physical Therapist	$59.6K	$0

Pediatric Services Of America, LLC — Billing Profile & Reimbursement Data

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Pediatric Services Of America, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References