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

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

Professional Home Care Services, Inc. (NPI 1750363065)

Field	Value
Entity Type	Organization
Organization	Professional Home Care Services, Inc.
Address	106 Sebethe Dr Ste A
City	Cromwell
State	CT
ZIP	06416
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	November 14, 2005

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	12,880	$220	$2.9M
B9998	Noc for enteral supplies	5,000	$130	$629.9K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	2,190	$90	$188.4K
B9002	Enteral nutrition infusion pump, any type	1,150	$160	$180.9K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1,540	$80	$118.2K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	5,940	$20	$107K
B4224	Parenteral nutrition administration kit, per day	950	$100	$90.7K
A4305	Disposable drug delivery system, flow rate of 50 ml or greater per hour	1,210	$70	$88K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	2,410	$30	$60.3K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	930	$50	$47.3K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Professional Home Care Services, Inc. — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	10	860	$180	$1.1M
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	10	6,100	$80	$503.1K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	3	10	4,100	$60	$342.2K
B4224	Parenteral nutrition administration kit, per day	2	10	950	$110	$339.5K
A4604	Tubing with integrated heating element for use with positive airway pressure device	21	20	3,380	$20	$197.4K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	2	10	5,750	$30	$182.2K
B9002	Enteral nutrition infusion pump, any type	2	10	2,830	$60	$167.1K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	2	10	410	$20	$141.9K
B9998	Noc for enteral supplies	1	10	590	$110	$129.1K
B4220	Parenteral nutrition supply kit; premix, per day	2	10	930	$30	$106.4K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Professional Home Care Services,inc	CT	Oxygen Equipment & Supplies (DME)	$0	$7.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Medical Equipment Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$3.1M
Apria Healthcare LLC	CT	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Loveland Eyecare, LLC	CT	Optometrist	$0	$1.9M
Hanspaul Makkar	CT	MOHS-Micrographic Surgery Physician	$1M	$0
Cromwell Fire District	CT	Land Ambulance	$217.9K	$681.6K
James Whalen	CT	MOHS-Micrographic Surgery Physician	$440.6K	$0
Matthew Moyer	CT	Primary Care Nurse Practitioner	$220.7K	$0
Amy Chen	CT	Dermatology Physician	$124.4K	$0
Stephen Siegel	CT	Family Medicine Physician	$86.2K	$0
Kayla Curtis	CT	Nurse Practitioner	$76K	$0

Professional Home Care Services, Inc. — Billing Profile & Reimbursement Data

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Professional Home Care Services, 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