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

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

Pyra Med Health Services, LLC (NPI 1740316561)

Field	Value
Entity Type	Organization
Organization	Pyra Med Health Services, LLC
Address	800 Isom Rd Ste 210
City	San Antonio
State	TX
ZIP	78216
Taxonomy	Home Health Agency
NPI Enumerated	February 26, 2007

Payer Source	Total Paid
Medicaid	$67.7M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operator: there is no Medicare billing on file and all recorded public revenue is Medicaid, totaling $67.7M. The absence of Medicare activity indicates the organization’s financial exposure and contracting will be highly sensitive to Medicaid policy and rate changes in Texas rather than Medicare trends.

Medicaid revenue is extremely concentrated: the precomputed top three Medicaid codes account for 96.4% of the provider’s total Medicaid revenue, signaling that a very small set of services drives almost all reported billing. That concentration creates operational dependence on continued demand and reimbursement for those specific codes.

T1000 overwhelmingly defines the business model — 137.6K claims generating $60.1M in revenue (88.8% of total Medicaid revenue) at an average paid per claim of $437 — indicating the organization primarily delivers private duty/independent licensed nursing in home settings. The scale of T1000 relative to other codes suggests field nursing and long-duration in-home care are the core service line supported by ancillary therapy services.

Despite its dominance in absolute dollars, T1000 is characterized in-state as a typical, unremarkable volume for the code; the provider ranks #8 of 140 in Texas (95th percentile) but the supplied label still marks it as typical, suggesting sizable but not atypical specialization among peers. Analysts should interpret the rank and the label together: the provider is a major biller for T1000 by revenue, yet similar-volume providers exist across the state.

The secondary revenue drivers are therapy codes: 92507 (29.4K claims, $2.6M revenue, $88 avg paid/claim) and 97530 (26.2K claims, $2.5M revenue, $97 avg paid/claim), each representing 3.8% of Medicaid revenue. 97530 is ranked #60 of 1616 in-state (96th percentile) and is described as notably above typical state volume, indicating a relatively strong footprint in therapeutic functional activities; 92507 is ranked #110 of 1354 (92th percentile) but labeled typical, unremarkable volume, showing solid but not exceptional speech‑related service volume.

Beyond the top three, the provider bills a range of lower‑revenue codes that reflect breadth in home‑based services — examples include H2015 ($527.3K), T1005 ($248.5K), S9124 ($120.2K), and S9152 ($63.1K). These smaller lines (each under 1% of total Medicaid revenue) suggest the organization offers complementary services such as community support, respite, home LPN hours, and speech re‑evaluations, likely to support comprehensive in‑home care packages rather than as independent profit centers.

The provider has a long standing enrollment: NPI enumerated 2007-02-26 (~19 years ago), implying sustained market presence and operational continuity in Texas Medicaid programs. Given the tenure plus a highly concentrated Medicaid revenue base, the provider appears operationally stable but exposed to shifts in Medicaid utilization or policy affecting its few high‑revenue codes.

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
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	137,570	$440	$60.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	29,410	$90	$2.6M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	26,250	$100	$2.5M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	13,740	$100	$1.4M
H2015	Comprehensive community support services, per 15 minutes	2,810	$190	$527.3K
T1005	Respite care services, up to 15 minutes	1,400	$180	$248.5K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	230	$520	$120.2K
S9152	Speech therapy, re-evaluation	500	$130	$63.1K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	530	$100	$51.6K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	90	$150	$13.6K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Pyra Med Health Services, LLC — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	8	140	29,740	$490	$24.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	51	60	2,200	$330	$2.5M
H2015	Comprehensive community support services, per 15 minutes	62	120	2,880	$100	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	110	1,350	1,860	$80	$872.4K
T1005	Respite care services, up to 15 minutes	468	560	8,490	$50	$842.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	60	1,620	1,070	$70	$333.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	77	1,320	1,070	$60	$211.1K
S9152	Speech therapy, re-evaluation	70	270	120	$110	$62.5K
92523	A speech–language pathologist (SLP) evaluates the patient's speech sound production for issues such as incorrect pronunciation and patterns.	189	360	100	$140	$62K
97168	The occupational therapist (OT) performs a re–evaluation focusing on changes in the patient's functional, environment, or medical status that results in a revised plan of care; re–evaluation includes…	33	180	90	$90	$29.4K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pyra Med Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pyra Med Health Services, LLC	TX	Home Health Agency	$0	$48.4M
Pyra Med Health Services, LLC	TX	Home Health Agency	$0	$29.7M

Nearby Providers

Other providers in the same ZIP code as Pyra Med Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wave Healthcare	TX	Durable Medical Equipment & Medical Supplies	$0	$65.3M
The Home Care Team, Inc.	TX	Home Health Agency	$0	$53.9M
Outreach Health Community Care Services LP	TX	Personal Care Attendant	$0	$52.8M
Ability Homecare, LLC	TX	Home Health Agency	$0	$52.5M
Pride Phc Services Inc	TX	Home Health Agency	$0	$51.6M
National Nursing And Rehab Sa Pediatrics, LLC	TX	Home Health Agency	$0	$46.3M
Alliance Medical Supply, LLC	TX	Durable Medical Equipment & Medical Supplies	$0	$34.8M
Stonebridge Behavioral Health, P.A.	TX	Clinical Psychologist	$0	$17.6M
Premieant Inc	TX	Adult Care Home Facility	$0	$12.9M
Simply The Best Home Therapy, LLC	TX	Home Health Agency	$0	$11.5M

Pyra Med Health Services, LLC — Billing Profile & Reimbursement Data

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Pyra Med Health Services, LLC — 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