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 Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont 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. Vermont (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.

Regional Home Care Inc (NPI 1730683566)

Field	Value
Entity Type	Organization
Organization	Regional Home Care Inc
Address	65 N Main St Ste C
City	Rutland
State	VT
ZIP	05701
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	March 19, 2018

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0601	Continuous positive airway pressure (CPAP) device	8,860	$60	$495.9K
A7030	Full face mask used with positive airway pressure device, each	3,540	$100	$357.5K
A4604	Tubing with integrated heating element for use with positive airway pressure device	4,980	$40	$194.2K
E0562	Humidifier, heated, used with positive airway pressure device	6,100	$30	$164.8K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	1,920	$70	$124.5K
A7031	Face mask interface, replacement for full face mask, each	2,850	$40	$122.4K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	990	$110	$109.6K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	650	$120	$76.1K
A7035	Headgear used with positive airway pressure device	3,440	$20	$75.7K
A7038	Filter, disposable, used with positive airway pressure device	5,760	$10	$40.3K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Regional Home Care Inc — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	13	20	2,660	$50	$197.6K
A7030	Full face mask used with positive airway pressure device, each	2	10	510	$90	$115.7K
E0601	Continuous positive airway pressure (CPAP) device	1	20	590	$50	$100.2K
A7031	Face mask interface, replacement for full face mask, each	4	10	960	$50	$80.1K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	1	10	750	$90	$59K
A4604	Tubing with integrated heating element for use with positive airway pressure device	2	10	420	$30	$57.5K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	2	10	280	$60	$46K
E0562	Humidifier, heated, used with positive airway pressure device	2	10	900	$20	$44.4K
A7032	Cushion for use on nasal mask interface, replacement only, each	2	10	380	$50	$26.2K
A7038	Filter, disposable, used with positive airway pressure device	2	20	1,300	$10	$23K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional Home Care Inc.	MA	Oxygen Equipment & Supplies (DME)	$0	$32.3M
Regional Home Care Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Regional Home Care Inc	NH	Oxygen Equipment & Supplies (DME)	$0	$547.8K

Nearby Providers

Other providers in the same ZIP code as Regional Home Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rutland Mental Health Services	VT	Developmental Disabilities Clinic/Center	$0	$122.1M
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$20.6M
Rutland Mental Health Services, Inc.	VT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.7M
Rutland Hospital, Inc.	VT	Psychiatric Hospital Unit	$396.2K	$13.3M
Community Health Centers Of The Rutland Region, Inc.	VT	Pediatrics Physician	$0	$13.6M
Regional Ambulance Service, Inc	VT	Land Ambulance	$1.4M	$5.3M
Vna & Hospice Of The Southwest Region, Inc	VT	Home Health Agency	$0	$4.8M
Bradford Psychiatric Associates. LLC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$4.7M
Community Health Centers Of The Rutland Region, Inc.	VT	Dentist	$0	$4.4M
Community Health Centers Of The Rutland Region, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$4.3M

Regional Home Care Inc — Billing Profile & Reimbursement Data

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Regional Home Care Inc — 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