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.

Upmc Home Healthcare Of Western PA (NPI 1730493032)

Field	Value
Entity Type	Organization
Organization	Upmc Home Healthcare Of Western PA
Address	300 Northpointe Cir
City	Seven Fields
State	PA
ZIP	16046
Taxonomy	Home Health Agency
NPI Enumerated	July 29, 2010

Payer Source	Total Paid
Medicaid	$17.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	80,110	$110	$8.7M
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	45,380	$110	$4.9M
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	16,700	$110	$1.8M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	5,480	$110	$602.8K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	4,160	$110	$448.7K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	3,950	$60	$224.9K
99501	A home health provider, such as a registered nurse, visits a patient and her newborn at home to review plans of care and provide additional resources to the patient.	1,800	$110	$197.6K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	1,480	$120	$177.4K
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	1,820	$100	$176.2K
S0311	Comprehensive management and care coordination for advanced illness, per calendar month	240	$280	$68K

Showing 1–10 of 12

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

Upmc Home Healthcare Of Western PA — 5 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	67	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	2	130	1,190	$100	$528.9K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	1	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	4	40	1,090	$90	$234.1K
G0152	Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes	1	50	480	$90	$156.7K
99501	A home health provider, such as a registered nurse, visits a patient and her newborn at home to review plans of care and provide additional resources to the patient.	3	20	240	$130	$149.8K
G0153	Services performed by a qualified speech‑language pathologist in the home health or hospice setting, each 15 minutes.	1	10	620	$110	$131.4K
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	2	10	820	$90	$100.9K
S0311	Comprehensive management and care coordination for advanced illness, per calendar month	1	10	240	$280	$68.1K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	1	10	90	$100	$26.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Upmc Home Healthcare Of Western PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mhy Family Services	PA	Community/Behavioral Health Agency	$0	$10M
Anuradha Anand	PA	Physical Medicine & Rehabilitation Physician	$110.9K	$1.9K
Hugo Pfaeffle	PA	Orthopaedic Hand Surgery Physician	$74.9K	$34.9K
Ryan Soose	PA	Otolaryngology Physician	$33.5K	$19.2K
Erin Benford	PA	Clinical Neuropsychologist	$35.2K	$0
Timothy Curtis	PA	Surgical Physician Assistant	$11.5K	$0

Upmc Home Healthcare Of Western PA — Billing Profile & Reimbursement Data

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Upmc Home Healthcare Of Western PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References